MAGED BASILIOS MD INC NPI 1326459256

NPI Information

  • NPI: 1326459256
  • Provider Name: MAGED BASILIOS, MD INC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Address: 4505 E SLAUSON AVE
    SUITE E
    MAYWOOD, CA
    ZIP 90270
  • Phone: (323) 771-0080

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NPI Details

MAGED BASILIOS, MD INC is a primary care clinic center in Maywood, CA. MAGED BASILIOS, MD INC NPI is 1326459256. The provider is registered as an organization entity type.

The provider's business location address is:

4505 E SLAUSON AVE
SUITE E
MAYWOOD, CA
ZIP 90270-955
Phone: (323) 771-0080
Fax: (323) 771-0090

The provider's authorized official is Maged Basilios .
The authorized official title is President and has the following contact phone number (323) 771-0080.

The enumeration date for this NPI number is 5/13/2014 and was last updated on 5/15/2014.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary CareA061990CALIFORNIAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1H35899MEDICARE UPINCALIFORNIA
2A61990MEDICARE PIN

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: 11/21/2025

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