Organization · Type 2 NPI
Bazan Enterprises LLC
Point of Service · Sun Valley, CA
NPI number
1497562029
Active
Practice location
11872 Sheldon St
Sun Valley, CA 91352-1507
Fax (212) 888-6024
Mailing address
560 Hudson St Ste 301
Hackensack, NJ 07601-6655
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | None listed |
| Point of Service Primary | 305S00000X | None listed |
| Prevention Professional | 405300000X | None listed |
Point of Service: This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
About NPI 1497562029
Bazan Enterprises LLC's National Provider Identifier is 1497562029, issued on Dec 17, 2024. The primary taxonomy on file is Point of Service (305S00000X), and the practice location is in Sun Valley, CA. The record was last updated on Dec 17, 2024.