Individual provider · Type 1 NPI
Basil O. Ike Jr.
Sports Medicine (Family Medicine) Physician · Orange, CA
Practice location
101 The City Dr S
Orange, CA 92868-3201
Mailing address
200 S Manchester Ave Ste 835
Orange, CA 92868-3213
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Sports Medicine (Family Medicine) Physician Primary | 207QS0010X | 20A19702 (CA) |
Sports Medicine (Family Medicine) Physician: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomecha…
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About NPI 1114553146
Basil O. Ike Jr.'s National Provider Identifier is 1114553146, issued on Mar 21, 2020. The primary taxonomy on file is Sports Medicine (Family Medicine) Physician (207QS0010X), and the practice location is in Orange, CA. The record was last updated on May 10, 2026.