| Doctor Name: | DR. SOMNATH BASU |
| NPI Number: | 1467654343 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD PHD |
| License Number: | A97900 |
| Business Practice Address: | 10153 1/2 Riverside Dr Suite # 580 Toluca Lake, CA - 916022561 |
| Business Phone Number: | 6263190421 |
| Business Fax Number: | |
| Mailing Address: | 10153 1/2 Riverside Dr, Suite # 580 TOLUCA LAKE |
| State: | CA |
| Postal Code: | 916022561 |
| Phone Number: | 6263190421 |
| Fax Number: | |
| NPI Enumeration Date: | 06/04/2007 |
| NPI Last Update Date: | 08/29/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0202X |
| License Number: | A97900 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Diagnostic Radiology |
| Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |