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Sam Basta
Attendant Care Provider in Los Angeles, California
NPI 1174092506

Sam Basta is an Attendant Care Provider based in Los Angeles, CA and is specialized in Attendant Care Provider. Sam Basta practices in Los Angeles, CA. The NPI Number for Sam Basta is 1174092506 and holds a License No. (California).

The current practice location address for Sam Basta is 3757 Kelton Ave Apt 211, Los Angeles, CA and can be reached out via phone at 310-465-6019.

Location: 3757 Kelton Ave Apt 211, Los Angeles, CA, 90034-7135
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174092506
Provider Name
Sam Basta
Credential
Provider Entity Type
Individual
Gender
Male
Address
3757 Kelton Ave Apt 211, Los Angeles, CA, 90034-7135
Phone Number
310-465-6019
Fax Number
Provider Enumeration Date
11/14/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
473411858 05 CA
institution
Provider Business Practice Location Address Details
Address
3757 Kelton Ave Apt 211
City
Los Angeles
State
California
Zip
90034-7135
Phone Number
310-465-6019
Fax Number
person
Provider Business Mailing Address Details
Address
3757 Kelton Ave Apt 211
City
Los Angeles
State
California
Zip
90034-7135
Phone Number
310-465-6019
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Technician
Speciality
Attendant Care Provider
Taxonomy
3747A0650X
License No.
()
Definition
An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.
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