Individual
JOSE GILBERTO BAZAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 DUARTE RD, DUARTE, CA 91010-3012
(626) 256-4673
Mailing address
PO BOX 512185, LOS ANGELES, CA 90051-0185
(614) 293-4044
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
35.121649
OH
2085R0001X
Radiation Oncology Physician
Primary
A110291
CA
Other
Enumeration date
04/25/2009
Last updated
12/01/2022
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