Organization
EUGENE J BASILIERE MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EUGENE JOSEPH BASILIERE MD (PRESIDENT)
(619) 427-8892
Entity
Organization
Contact information
Practice address
765 MEDICAL CENTER CT, #209, CHULA VISTA, CA 91911-6600
(619) 427-8892
(619) 422-7660
Mailing address
765 MEDICAL CENTER CT, #209, CHULA VISTA, CA 91911-6600
(619) 427-8892
(619) 422-7660
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A42602
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A426020
—
CA
Enumeration date
05/04/2007
Last updated
08/22/2020
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