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IOSIF BASIS
>> Non-emergency Medical Transport (VAN) >> Transportation ServicesRegistrant NPI Number: 1669740155
Individual Registrant: IOSIF BASIS
Gender: M
Sole Proprietor
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
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
Tel: 415-672-7395 Fax: 415-821-9883
Registration Information:
NPI: 1669740155
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 343900000X | Transportation Services Non-emergency Medical Transport (VAN) | CA | DL B6144499 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| MEDI-CAL | APPLICATION 488257 | CA | 01 |
