Individual provider · Type 1 NPI

Basem Issa

Driver · San Bernardino, CA

NPI number 1932866480 Active

Practice location

6444 N Beechwood Ave
San Bernardino, CA 92407-4026

Call (909) 520-4542 Map

Specialties and licenses

TaxonomyCodeLicense
Driver Primary 172A00000XC6607310 (CA)

Driver: A person employed to operate a motor vehicle as a carrier of persons or property.

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About NPI 1932866480

Basem Issa's National Provider Identifier is 1932866480, issued on Nov 19, 2021. The primary taxonomy on file is Driver (172A00000X), and the practice location is in San Bernardino, CA. The record was last updated on Nov 19, 2021.