ILAN BAZAK DPM PROFESSIONAL CORP NPI 1396906111

NPI Information

ILAN BAZAK DPM PROFESSIONAL CORP is a durable medical equipment medical supplies in West Hollywood, CA. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. ILAN BAZAK DPM PROFESSIONAL CORP NPI is 1396906111. The provider is registered as an organization entity type.

The provider's business location address is:

1121 N FAIRFAX AVE
WEST HOLLYWOOD, CA
ZIP 90046-306
Phone: (323) 650-6363
Fax: (323) 650-4377

The provider's authorized official is Ilan Bazak .
The authorized official title is Owner and has the following contact phone number (323) 650-6363.

The enumeration date for this NPI number is 6/24/2008 and was last updated on 7/16/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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