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DR. FERNANDO BASCO CANON M.D. NPI 1174656102


NPI Information

NPI: 1174656102
Provider Name: DR. FERNANDO BASCO CANON, M.D.
Classification: Dermatology - 207NS0135X
Entity Type: Individual

Specialization: Procedural Dermatology

Address:
8337 TELEGRAPH RD
SUITE 210
PICO RIVERA, CA
ZIP 90660
Phone: (562) 806-1321
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DR. Fernando Basco Canon, M.D. is a procedural dermatology dermatology in Pico Rivera, CA. The provider is procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). DR. Fernando Basco Canon, M.D. NPI is 1174656102. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

8337 TELEGRAPH RD
SUITE 210
PICO RIVERA, CA
ZIP 90660-909
Phone: (562) 806-1321
Fax: (562) 806-0801

The enumeration date for this NPI number is 3/13/2007 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207NS0135XDermatologyProcedural DermatologyA30070CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1A25957MEDICARE UPINCALIFORNIA
2WA30070AMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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