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NPI Code Detail

MEDICARE: USA BIOSCIENCES LLC

MEDICARE: USA BIOSCIENCES LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1291U00000XClinical Medical Laboratory

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
100351857OTHERCACLINICAL LICENSE

General Provider Information

NPI Number : 1548771736
Entity Type Code : Organization
Provider Name (Legal Business Name) : USA BIOSCIENCES LLC
Provider Business Mailing Address
First Line : 20695 S WESTERN AVE STE 112
Second Line :
City : TORRANCE
State : CA
Zip : 90501-1834
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 20695 S WESTERN AVE STE 112
Second Line :
City : TORRANCE
State : CA
Zip : 90501-1834
Country : US
Telephone Number : 310-755-7530
Fax Number :
Authorized Official
Title or Position : OWNER
Name : TIFFANY BASA
Credential :
Telephone Number : 310-755-7530
Provider Enumeration Date : 10/16/2017
Last Update Date : 09/09/2021

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Directions to “USA BIOSCIENCES LLC ” Practice Location

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