| Bazan Enterprises Llc | |
|
11872 Sheldon St Sun Valley CA 91352-1507 | |
| (818) 689-3687 | |
| (212) 888-6024 |
| Full Name | Bazan Enterprises Llc |
|---|---|
| Speciality | Point Of Service |
| Location | 11872 Sheldon St, Sun Valley, California |
| Authorized Official Name and Position | Hugo Marquez (CEO) |
| Authorized Official Contact | 8186893687 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bazan Enterprises Llc 560 Hudson St Ste 301 Hackensack NJ 07601-6655 Ph: (201) 641-2125 | Bazan Enterprises Llc 11872 Sheldon St Sun Valley CA 91352-1507 Ph: (818) 689-3687 |
| NPI Number | 1497562029 |
|---|---|
| Provider Enumeration Date | 12/17/2024 |
| Last Update Date | 12/17/2024 |
| Certification Date | 12/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497562029 | NPI | - | NPPES |
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