Individual
AMANDA BASSETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
11929 COURTLEIGH DR, LOS ANGELES, CA 90066-5522
(602) 617-6181
Mailing address
2911 SPARGER RD, DURHAM, NC 27705-1644
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA65606
CA
Other
Enumeration date
10/24/2024
Last updated
04/08/2025
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