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Iosif Basis
Non-emergency Medical Transport (VAN) in San Bruno, California
NPI 1669740155

Iosif Basis is a Non-emergency Medical Transport (VAN) based in San Bruno, CA. Iosif Basis practices in San Bruno, CA. The NPI Number for Iosif Basis is 1669740155 and holds a License No. DL B6144499 (California).

The current practice location address for Iosif Basis is 6330 Shelter Creek Ln, San Bruno, CA and can be reached out via phone at 415-672-7395 and via fax at 415-821-9883.

Location: 6330 Shelter Creek Ln, San Bruno, CA, 94066-3872
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669740155
Provider Name
Iosif Basis
Credential
Provider Entity Type
Individual
Gender
Male
Address
6330 Shelter Creek Ln, San Bruno, CA, 94066-3872
Phone Number
415-672-7395
Fax Number
415-821-9883
Provider Enumeration Date
12/12/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
APPLICATION 488257 01 CA MEDI-CAL
institution
Provider Business Practice Location Address Details
Address
6330 Shelter Creek Ln
City
San Bruno
State
California
Zip
94066-3872
Phone Number
415-672-7395
Fax Number
415-821-9883
person
Provider Business Mailing Address Details
Address
6330 Shelter Creek Ln
City
San Bruno
State
California
Zip
94066-3872
Phone Number
415-672-7395
Fax Number
415-821-9883
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Non-emergency Medical Transport (VAN)
Speciality
-
Taxonomy
343900000X
License No.
DL B6144499 (California)
Definition
A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.
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