Individual provider · NPI-1

Ryan Basak

Internal Medicine · Hemet, CA

NPI number1750867784
StatusActive
Last updated in NPPESMar 2, 2026

Details

NPI
1750867784
Entity type
Individual (NPI-1)
Name
Ryan Basak
Sex
Male
Sole proprietor
Yes
Enumeration date
Jul 12, 2018
Certification date
Mar 2, 2026
Last updated
Mar 2, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal MedicineA174399CAYes

Practice location

1117 E Devonshire Ave
Hemet, CA 92543-3083

Phone 951-552-2811

Mailing address

2952 Van Buren Blvd Apt 22
Riverside, CA 92503-9310

Phone 908-500-2120

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