Individual
ANTHONY GERARD BASSANELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
44530 SAN PABLO AVE STE 202, PALM DESERT, CA 92260-3598
(760) 341-6026
(760) 341-6027
Mailing address
44530 SAN PABLO AVE STE 202, PALM DESERT, CA 92260-3598
(760) 341-6026
(760) 341-6027
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G55820
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
179072
MEDICAL LICENSE
NY
01
—
G-55820
MEDICAL LICENSE
CA
Enumeration date
04/29/2006
Last updated
09/26/2019
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