License holder summary

JOHANNA VIDA BASA is a Medical Physician And Surgeon licensed to practice in Pennsylvania. The address on file for JOHANNA VIDA BASA is Encino CA 91436. This medical practitioner license is current. The license was granted 09/16/2014 and expired on 12/31/2016.

Department of State

Board of Medicine

JOHANNA VIDA BASA
Medical Physician And Surgeon
License number
MD453206
Date granted
09/16/2014
Date expires
12/31/2016
Class
Medical Physician And Surgeon
Status
Active
Address
Encino CA 91436
medicinepa.com
ID 37592902
LAST UPDATED 2026-04-10 19:15:29 UTC

This website is unaffiliated with the Board of Medicine. Please verify all information directly with the relevant official government authority.

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