Johanna V Basa, M.D.

NPI #1821326380 in Pomona, California

Provider Information

NPI Number: 1821326380
Entity Type: Individual
Name: Johanna V Basa, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Surgery
Credential: M.D.
Enumeration Date: Nov 21, 2009
Last Updated: Sep 12, 2018

Practice Location

Address: 520 E FOOTHILL BLVD STE C
City: Pomona
State: California
ZIP Code: 91767-1200
Phone: (909) 398-4835

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Surgery	208600000X	Primary

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