Bazak, Ilan
Bazak, Ilan is an individual health care provider with primary practice located at 1121 N Fairfox Ave , Los Angeles CA 90046. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Bazak, Ilan can be contacted via phone (323) 650-6363.Contact Information
Primary practice address
1121 N Fairfox Ave
Los Angeles CA 90046
Phone: (323) 650-6363
Fax: (323) 650-4377
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | E3741 | California |
Profile Details
| NPI number | 1932153970 |
|---|---|
| LBN Legal business name | Bazak, Ilan |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 22nd, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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