Basta, Sam
Basta, Sam is an individual health care provider with primary practice located at 3757 Kelton Ave Apt 211 , Los Angeles CA 90034-7135. He recently has only one registered license in Nursing Service Related Providers / Attendant Care Provider, which is considered as his primary health care specialty. Basta, Sam can be contacted via phone (310) 465-6019.Contact Information
Primary practice address
3757 Kelton Ave Apt 211
Los Angeles CA 90034-7135
Phone: (310) 465-6019
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Attendant Care Provider | 3747A0650X |
Profile Details
| NPI number | 1174092506 |
|---|---|
| LBN Legal business name | Basta, Sam |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 14th, 2018 |
| Last updated | Nov 14th, 2018 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174092506 | NPPES |
| California | MEDICAID | 473411858 |
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