Anthony G. Bassanelli, Md A Professional Corporation | |
44530 San Pablo Ave Ste 202 Palm Desert CA 92260-3598 | |
(760) 341-6026 | |
(760) 341-6027 |
Full Name | Anthony G. Bassanelli, Md A Professional Corporation |
---|---|
Speciality | Clinic/Center |
Location | 44530 San Pablo Ave Ste 202, Palm Desert, California |
Authorized Official Name and Position | Anthony Gerard Bassanelli (PRESIDENT/OWNER) |
Authorized Official Contact | 7603416026 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Anthony G. Bassanelli, Md A Professional Corporation 44530 San Pablo Ave Ste 202 Palm Desert CA 92260-3598 Ph: (760) 341-6026 | Anthony G. Bassanelli, Md A Professional Corporation 44530 San Pablo Ave Ste 202 Palm Desert CA 92260-3598 Ph: (760) 341-6026 |
NPI Number | 1629371406 |
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Provider Enumeration Date | 12/16/2010 |
Last Update Date | 12/16/2010 |
Medicare PECOS PAC ID | 9537357801 |
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Medicare Enrollment ID | O20101230000846 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629371406 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | G-55820 (California) | Primary |
Provider Name | Anthony G. Bassanelli |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1962469148 PECOS PAC ID: 4385769413 Enrollment ID: I20100914000192 |
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