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Organization
TSILYA BASS MD INC
Active
Organization
TSILYA BASS MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TSILYA BASS M.D. (PHISICIAN)
(323) 876-1500
Entity
Organization
Contact information
Practice address
1111 N FAIRFAX AVE STE 109, WEST HOLLYWOOD, CA 90046-5363
(323) 876-1500
(323) 876-1515
Mailing address
1111 N FAIRFAX AVE STE 109, WEST HOLLYWOOD, CA 90046-5363
(323) 876-1500
(323) 876-1515
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A63630
CA
208D00000X
General Practice Physician
A63630
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A636300
—
CA
Enumeration date
02/22/2007
Last updated
07/07/2020
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