Individual provider · Type 1 NPI

Tatyana Basulto, PA-C

Physician Assistant · Los Angeles, CA

NPI number 1366200693 Active

Practice location

325 E 7th St
Los Angeles, CA 90014-2209

Call (213) 893-1960 Map

Mailing address

300 N Rampart St Trlr 139
Orange, CA 92868-1819

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA64098 (CA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1366200693

Tatyana Basulto, PA-C's National Provider Identifier is 1366200693, issued on Mar 11, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Los Angeles, CA. The record was last updated on Mar 11, 2024.