Eugene Joseph Basiliere in San Diego - Specialist
Eugene Joseph Basiliere - NPI 1518929876
Eugene Joseph Basiliere is a Specialist in San Diego, California. Eugene Joseph Basiliere practices all healthcare services and medical treatments related to Specialist. The NPI Number for Eugene Joseph Basiliere is 1518929876. The last update date is 2013-12-20.
Eugene Joseph Basiliere's current location address is 4060 Fairmount Ave, San Diego, California. You can contact this provider via phone number 6192804213. The mailing address for Eugene Joseph Basiliere is 4060 Fairmount Ave, San Diego, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Eugene Joseph Basiliere |
|---|---|
| Address | 4060 Fairmount Ave, San Diego, California |
| Phone Number | 6192804213 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.D |
NPI Number Detail
| NPI Number | 1518929876 |
|---|---|
| Provider Enumeration Date | 2006-04-03 |
| Last Updated Date | 2013-12-20 |
Provider Mailing Address Detail
| Address | 4060 Fairmount Ave |
|---|---|
| City | San Diego |
| State | California (CA) |
| Post Code | 921051608 |
| Phone Number | 6192804213 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | A42602 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00A426020 | CA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Eugene Joseph Basiliere?
The Eugene Joseph Basiliere has been issued the NPI (National Provider Identifier) 1518929876 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Eugene Joseph Basiliere's physical address?
The Eugene Joseph Basiliere is physically located at 4060 Fairmount Ave, in the city of San Diego, CA, with the postal code 921051608.
What is the area of specialization for Eugene Joseph Basiliere, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Eugene Joseph Basiliere is Specialist, and the corresponding taxonomy code that categorizes this area of expertise is 174400000X.
On what date did the Eugene Joseph Basiliere receive its 1518929876 assignment from the Centers for Medicare & Medicaid Services?
The Eugene Joseph Basiliere was assigned its 1518929876 by the Centers for Medicare & Medicaid Services on 2006-04-03.
When was the information related to Eugene Joseph Basiliere most recently updated or refreshed?
The details pertaining to the Eugene Joseph Basiliere, including its address, specialty, and other relevant information, were last updated or refreshed on 2013-12-20.