Provider Demographics
NPI:1235465337
Name:FRANK E BASA MD
Entity Type:Organization
Organization Name:FRANK E BASA MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:BASA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:626-357-6769
Mailing Address - Street 1:1110 S 10TH AVE
Mailing Address - Street 2:
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91006-4505
Mailing Address - Country:US
Mailing Address - Phone:626-357-6769
Mailing Address - Fax:626-357-6743
Practice Address - Street 1:2701 W ALAMEDA AVE
Practice Address - Street 2:#403
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91505-4402
Practice Address - Country:US
Practice Address - Phone:626-940-8500
Practice Address - Fax:626-357-6743
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-23
Last Update Date:2009-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty