Leah Nichole Basch, PA-C
Physician Assistant, Surgical in Rancho Mirage, CA. Individual provider (NPI-1).
NPI number1760633382
StatusActive
Last updated in NPPESMay 22, 2024
Details
- NPI
- 1760633382
- Entity type
- Individual (NPI-1)
- Name
- Leah Nichole Basch
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 1, 2008
- Certification date
- May 22, 2024
- Last updated
- May 22, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | 64265 | CA | Yes |
| 363AS0400X | Physician Assistant, Surgical | 50.003762 | OH | |
| 363AS0400X | Physician Assistant, Surgical | 0110002884 | VA |
Practice location
39000 Bob Hope DrRancho Mirage, CA 92270-3221
Phone 760-674-3667 · Fax 760-674-3857
Mailing address
39000 Bob Hope DrRancho Mirage, CA 92270-3221
Phone 760-674-3667 · Fax 760-674-3857
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Other Surgical Physician Assistant providers in Rancho Mirage, CA
- Robert Baker, P.A.NPI 1568425239
- Leland I Collard, PANPI 1932164605
- Walter Desha, PANPI 1497738132
- Alexandria Marie Sarro, PA-CNPI 1861988966
- Jennifer Catherine Turney, P.A.-C.NPI 1932339785
- Heather Ventura, PANPI 1770866923
- Stuart Wong, PA-CNPI 1326703539
All 8 Surgical Physician Assistant providers in Rancho Mirage · All 2,047 providers in Rancho Mirage
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