Individual
CHRISTINA BASHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
311 N COLORADO PL, LONG BEACH, CA 90814-2325
(760) 902-4617
Mailing address
31852 COAST HWY STE 300, LAGUNA BEACH, CA 92651-6766
(949) 499-1389
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA51939
CA
Other
Enumeration date
10/06/2014
Last updated
03/15/2016
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