Individual provider · Type 1 NPI

Leah Nichole Basch, PA-C

Surgical Physician Assistant · Rancho Mirage, CA

NPI number 1760633382 Active

Practice location

39000 Bob Hope Dr
Rancho Mirage, CA 92270-3221

Call (760) 674-3667 Map

Fax (760) 674-3857

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400X50.003762 (OH)
Surgical Physician Assistant 363AS0400X0110002884 (VA)
Surgical Physician Assistant Primary 363AS0400X64265 (CA)

Surgical Physician Assistant: Definition to come...

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About NPI 1760633382

Leah Nichole Basch, PA-C's National Provider Identifier is 1760633382, issued on Oct 1, 2008. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Rancho Mirage, CA. The record was last updated on May 22, 2024.