LEONID BASOVICH DO INC NPI 1629542949

NPI Information

  • NPI: 1629542949
  • Provider Name: LEONID BASOVICH DO INC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Address: 7777 GREENBACK LN STE 103
    CITRUS HEIGHTS, CA
    ZIP 95610
  • Phone: (916) 905-1777

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NPI Details

LEONID BASOVICH DO INC is a primary care clinic center in Citrus Heights, CA. LEONID BASOVICH DO INC NPI is 1629542949. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7777 GREENBACK LN STE 103
CITRUS HEIGHTS, CA
ZIP 95610-800
Phone: (916) 905-1777
Fax: (888) 855-7555

The provider's authorized official is Leonid Basovich .
The authorized official title is President and has the following contact phone number (516) 884-2349.

The enumeration date for this NPI number is 1/21/2019 and was last updated on 6/4/2020.

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
1207QA0401XFamily MedicineAddiction MedicineNo
2261QP2300XClinic/CenterPrimary CareYes

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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