| Tsilya Bass Md Inc. | |
|
11631 Victory Blvd Ste 103 N Hollywood CA 91606-3572 | |
| (818) 762-3116 | |
| (818) 985-7923 |
| Full Name | Tsilya Bass Md Inc. |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 11631 Victory Blvd, N Hollywood, California |
| Authorized Official Name and Position | Tsilya Bass (PHISICIAN) |
| Authorized Official Contact | 8187623116 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tsilya Bass Md Inc. 11631 Victory Blvd Ste 103 N Hollywood CA 91606-3572 Ph: (818) 762-3116 | Tsilya Bass Md Inc. 11631 Victory Blvd Ste 103 N Hollywood CA 91606-3572 Ph: (818) 762-3116 |
| NPI Number | 1669506549 |
|---|---|
| Provider Enumeration Date | 03/15/2007 |
| Last Update Date | 07/13/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669506549 | NPI | - | NPPES |
| 00A636301 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | A63630 (California) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | A63630 (California) | Primary |
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