DR. Jacob Basilius, MD

NPI #1043741911 in Orange, California

Provider Information

NPI Number: 1043741911
Entity Type: Individual
Name: DR. Jacob Basilius, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Urology
Credential: MD
Enumeration Date: Mar 23, 2017
Last Updated: Nov 1, 2022

Practice Location

Address: 101 THE CITY DR S
City: Orange
State: California
ZIP Code: 92868-3201
Phone: (714) 880-7812

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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