| Doctor Name: | DR. MAXIMINO PLATON BASCO |
| NPI Number: | 1538225719 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | C51404 |
| Business Practice Address: | 9080 Colima Rd Department Of Radiology Whittier, CA - 906051600 |
| Business Phone Number: | 5629071660 |
| Business Fax Number: | 5629071549 |
| Mailing Address: | Po Box 10076, VAN NUYS |
| State: | CA |
| Postal Code: | 914100076 |
| Phone Number: | 8055788300 |
| Fax Number: | 8055783911 |
| NPI Enumeration Date: | 12/29/2006 |
| NPI Last Update Date: | 04/13/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085B0100X |
| License Number: | C51404 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Body Imaging |
| Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |