Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. FERNANDO BASCO CANON, M.D.
ActiveDR. FERNANDO BASCO CANON, M.D. is a Procedural Dermatology healthcare provider located in PICO RIVERA, California. NPI 1174656102 is currently active in the NPPES registry. Verify at CMS.
Procedural Dermatology · PICO RIVERA, CA
Registration Details
- NPI Number
- 1174656102
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 13, 2007 (19.433181850664 yrs)
- Last Updated
- Jul 8, 2007
- License
-
A30070 (CA)
Practice Information
- Address
-
8337 TELEGRAPH RDSUITE 210PICO RIVERA, CA, 906604909Browse CA providers · Browse ZIP 90660
- Phone
- 5628061321
- Fax
- 5628060801
- Primary Specialty
-
Procedural Dermatology
207NS0135X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.