Ilan Bazak Dpm Professional Corp

LBN: Ilan Bazak Dpm Professional Corp
Ilan Bazak Dpm Professional Corp is an health care organization with primary practice located at 1121 N Fairfax Ave , West Hollywood CA 90046-5306. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Ilan Bazak Dpm Professional Corp can be contacted via phone (323) 650-6363, or through Bazak, Ilan via phone (323) 650-6363.

Contact Information

Primary practice address
1121 N Fairfax Ave West Hollywood CA 90046-5306
Fax: (323) 650-4377
Website:
Authorized official contact:
Name: Bazak, Ilan Doctor of Podiatric Medicine (DPM)

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 0559350001 California

Profile Details

NPI number 1396906111
LBN Legal business name Ilan Bazak Dpm Professional Corp
DBA Doing business as
Authorized official Bazak, Ilan Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 24th, 2008
Last updated Jul 16th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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