Ilan Bazak


Address: 1121 N Fairfax Ave, West Hollywood, CA 90046-5306

Ilan Bazak (NPI# 1932153970, PAC ID# 2668582560) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.

Physician Overview

Nation Provider ID (NPI) 1932153970
PAC ID by PECOS 2668582560
Professional Enrollment ID I20101021000771
Full Name Ilan Bazak
Address 1121 N Fairfax Ave
West Hollywood
CA 90046-5306
Gender M
Medical School CALIFORNIA COLLEGE PODIATRIC MEDICINE
Graduation Year 1989
Primary Specialty PODIATRY
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
1121 N Fairfax Ave, West Hollywood, CA 90046-5306

Organization Information

Office Location

Street Address 1121 N FAIRFAX AVE
City WEST HOLLYWOOD
State CA
Zip 90046-5306

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Competitor

Search similar physicians

City WEST HOLLYWOOD
Zip Code 90046
Specialty PODIATRY
City + Specialty WEST HOLLYWOOD + PODIATRY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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