Organization · NPI-2

Karl D. Bassler, M.D, INC

Dermatology · Laguna Hills, CA

NPI number1114198975
StatusActive
Last updated in NPPESMar 7, 2023

Details

NPI
1114198975
Entity type
Organization (NPI-2)
Legal business name
Karl D. Bassler, M.D, INC
Organization subpart
No
Enumeration date
Mar 19, 2008
Last updated
Mar 7, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207N00000X DermatologyA64015CAYes
207ND0900X Dermatology, DermatopathologyA64015CA
207NS0135X Dermatology, Procedural DermatologyA64015CA

Practice location

23961 Calle De La Magdalena
# 520
Laguna Hills, CA 92653-3616

Phone 949-855-3376 · Fax 949-609-1971

Mailing address

23961 Calle De La Magdalena
# 520
Laguna Hills, CA 92653-3616

Phone 949-855-3376 · Fax 949-609-1971

Authorized official

Karl David Bassler
President
9498553376

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