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IOSIF BASIS

>> Non-emergency Medical Transport (VAN) >> Transportation Services

Registrant NPI Number: 1669740155

Individual Registrant:
 IOSIF  BASIS 
Gender: M
Sole Proprietor

Location and contact information for practice:
6330 SHELTER CREEK LN  SAN BRUNO, CA 94066-3872 US
Tel: 415-672-7395  Fax: 415-821-9883

Contact information for business:
6330 SHELTER CREEK LN  SAN BRUNO, CA 94066-3872 US
Tel: 415-672-7395  Fax: 415-821-9883

Registration Information:
NPI: 1669740155
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y343900000XTransportation Services
Non-emergency Medical Transport (VAN)
CADL B6144499

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
MEDI-CALAPPLICATION 488257CA01




HEALTH CARE JOBS CA - Page 1



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