Ike, Basil O

Ike, Basil O is an individual health care provider with primary practice located at 6699 Alvarado Rd Ste 2100 , San Diego CA 92120-5238. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Ike, Basil O can be contacted via phone (909) 558-6688.

Contact Information

Primary practice address
6699 Alvarado Rd Ste 2100 San Diego CA 92120-5238
Phone: (909) 558-6688
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 20A19702 California
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1114553146
LBN Legal business name Ike, Basil O
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2020
Last updated Jun 28th, 2024 - about 3 months 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.

Request for update

Popular Providers