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Louis T Bascoy, M.d., Inc.
Medical Specialty Clinic/Center in Los Angeles, California
NPI 1811339856

Louis T Bascoy, M.d., Inc. is a Medical Specialty Clinic/Center based in Los Angeles, CA and is specialized in Medical Specialty. Louis T Bascoy, M.d., Inc. practices in Los Angeles, CA. The NPI Number for Louis T Bascoy, M.d., Inc. is 1811339856 and holds a License No. A29037 (California).

The current practice location address for Louis T Bascoy, M.d., Inc. is 4560 E Cesar E Chavez Ave, Los Angeles, CA and can be reached out via phone at 323-269-0411 and via fax at 323-269-0418.

Location: 4560 E Cesar E Chavez Ave, Los Angeles, CA, 90022-1117
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1811339856
Provider Name
Louis T Bascoy, M.d., Inc.
Credential
Provider Entity Type
Organization
Address
4560 E Cesar E Chavez Ave, Los Angeles, CA, 90022-1117
Phone Number
323-269-0411
Fax Number
323-269-0418
Provider Enumeration Date
07/18/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00A290370 05 CA
institution
Provider Business Practice Location Address Details
Address
4560 E Cesar E Chavez Ave
City
Los Angeles
State
California
Zip
90022-1117
Phone Number
323-269-0411
Fax Number
323-269-0418
person
Provider Business Mailing Address Details
Address
4560 E Cesar E Chavez Ave
City
Los Angeles
State
California
Zip
90022-1117
Phone Number
323-269-0411
Fax Number
323-269-0418
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
A29037 (California)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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