Organization
BAZ ALLERGY, ASTHMA & SINUS CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MALIK BAZ MD (CFO/VICE PRESIDENT)
(559) 436-4500
Entity
Organization
Contact information
Practice address
360 E YOSEMITE AVE STE 200, MERCED, CA 95340-8201
(209) 354-4675
Mailing address
7471 N FRESNO ST, FRESNO, CA 93720-2457
(559) 436-4500
(559) 261-1526
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CA115990
GROUP PTAN
CA
05
—
GR0043790
—
CA
01
—
ZZZ21572Z
GRP MCARE PTAN FOR BAZ ALLERGY, ASTHMA & SINUS CENTER
CA
Enumeration date
01/22/2014
Last updated
07/21/2022
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