Individual provider · NPI-1

Michael Basos, MSW

Technician, Other · Oakland, CA

NPI number1447074794
StatusActive
Last updated in NPPESJun 11, 2025

Details

NPI
1447074794
Entity type
Individual (NPI-1)
Name
Michael Basos
Credential
MSW
Sex
Male
Sole proprietor
No
Enumeration date
Nov 13, 2024
Certification date
Jun 10, 2025
Last updated
Jun 11, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
247200000X Technician, Other––Yes

Practice location

3301 E 12th St Ste 259
Oakland, CA 94601-2940

Phone 510-269-9030

Mailing address

1052 Via Roble
Lafayette, CA 94549-2925

Phone 925-588-1706

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Other Technician, Other providers in Oakland, CA