Organization
BAZ ALLERGY, ASTHMA & SINUS CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MALIK BAZ M.D. (CFO/VICE PRESIDENT)
(559) 436-4500
Entity
Organization
Contact information
Practice address
2311 W CLEVELAND AVE, SUITE 101, MADERA, CA 93637-8766
(559) 674-0075
Mailing address
7471 N FRESNO ST, FRESNO, CA 93720-2457
(559) 436-4500
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0043790
—
CA
Enumeration date
07/19/2006
Last updated
06/10/2017
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