Organization · Type 2 NPI

Ilan Bazak DPM Professional Corp

Durable Medical Equipment & Medical Supplies · West Hollywood, CA

NPI number 1396906111 Active

Practice location

1121 N Fairfax Ave
West Hollywood, CA 90046-5306

Call (323) 650-6363 Map

Fax (323) 650-4377

Specialties and licenses

TaxonomyCodeLicense
Durable Medical Equipment & Medical Supplies Primary 332B00000X0559350001 (CA)

Durable Medical Equipment & Medical Supplies: 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.

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About NPI 1396906111

Ilan Bazak DPM Professional Corp's National Provider Identifier is 1396906111, issued on Jun 24, 2008. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in West Hollywood, CA. The record was last updated on Jul 16, 2008.