Individual provider · Type 1 NPI
Basanta KC, NP
Family Nurse Practitioner · Cerritos, CA
NPI number
1366954620
Active
Practice location
12750 Center Court Dr S Ste 650
Cerritos, CA 90703-8569
Mailing address
16143 Woodbrier Dr
Whittier, CA 90604-3764
Other practice locations
- 2101 Rosecrans Ave # 3230, El Segundo, CA 90245-4749 · (323) 628-8671
- 16404 Colima Rd, Hacienda Heights, CA 91745-5502 · (626) 581-8330
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 11286 (CT) |
| Family Nurse Practitioner Primary | 363LF0000X | 95006273 (CA) |
| Family Nurse Practitioner | 363LF0000X | 088676-23 (NH) |
| Family Nurse Practitioner | 363LF0000X | APRN03136 (RI) |
Family Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1366954620
Basanta KC, NP's National Provider Identifier is 1366954620, issued on Oct 26, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Cerritos, CA. The record was last updated on Apr 19, 2023.