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Organization

BAZAN ENTERPRISES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HUGO MARQUEZ (CEO)
(818) 689-3687
Entity
Organization

Contact information

Practice address
11872 SHELDON ST, SUN VALLEY, CA 91352-1507
(818) 689-3687
(212) 888-6024
Mailing address
560 HUDSON ST STE 301, HACKENSACK, NJ 07601-6655
(201) 641-2125

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
305S00000X
Point of Service
Primary
405300000X
Prevention Professional

Other

Enumeration date
12/17/2024
Last updated
12/17/2024
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