Bashoura, Habib Moussa
Bashoura, Habib Moussa is an sole proprietor health care provider with primary practice located at 1234 Foothill Blvd #2, La Verne CA 91750-3329. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bashoura, Habib Moussa can be contacted via phone (909) 596-4879.Contact Information
Primary practice address
1234 Foothill Blvd #2
La Verne CA 91750-3329
Phone: (909) 596-4879
Fax: (909) 596-9199
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | A52519 | California |
Profile Details
| NPI number | 1730170887 |
|---|---|
| LBN Legal business name | Bashoura, Habib Moussa |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 28th, 2005 |
| Last updated | Dec 15th, 2016 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730170887 | NPPES |
| California | MEDICAID | 00A55191 |
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