Dr Fernando Basco Canon, MD is a
Dermatology - Procedural Dermatology physician based in Pico Rivera, California. Dr Fernando Basco Canon is licensed to practice in California (license number A30070) and his current practice location is 8337 Telegraph Rd, Suite 210, Pico Rivera, California. He can be reached at his office (for appointments etc.) via phone at
(562) 806-1321.
NPI number for Dr Fernando Basco Canon is 1174656102 and his current mailing address is 8337 Telegraph Rd, Suite 210, Pico Rivera, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1174656102.
Physician's Profile
| Full Name | Dr Fernando Basco Canon |
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| Gender | Male |
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| Speciality | Dermatology - Procedural Dermatology |
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| Location | 8337 Telegraph Rd, Pico Rivera, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1174656102
- Provider Enumeration Date: 03/13/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Fernando Basco Canon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174656102 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207NS0135X | Dermatology - Procedural Dermatology | A30070 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Fernando Basco Canon is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Fernando Basco Canon, MD
8337 Telegraph Rd, Suite 210,
Pico Rivera, CA 90660-4909
Ph: (562) 806-1321 | Dr Fernando Basco Canon, MD
8337 Telegraph Rd, Suite 210,
Pico Rivera, CA 90660-4909
Ph: (562) 806-1321 |
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