Most Relevant Information
Provider Data
| NPI Number: | 1003656802 |
| Provider Name: | BASIL MUBARKEH |
| Entity Type: | Individual |
| Taxonomy Code: | 152W00000X |
| Specialty: | Optometrist |
| License Number: | 35675 |
Most Important Dates
| Enumeration Date: | 05/29/2024 |
| Last Updated: | 05/29/2024 |
Provider Practice Location
45104 10TH ST W
LANCASTER
CA
935342310
Practice Location Phone/Fax
| Phone: | 6619419543 |
| Fax: |
Provider Mailing Location
18201 SHANNON RIDGE PL
CANYON COUNTRY
CA
913878135
Provider Mailing Phone/Fax
| Phone: | 6618393915 |
| Fax: |