Individual
DR. ILAN BAZAK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1121 N FAIRFOX AVE, LOS ANGELES, CA 90046
(323) 650-6363
(323) 650-4377
Mailing address
1121 N FAIRFOX AVE, LOS ANGELES, CA 90046
(323) 650-6363
(323) 650-4377
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E3741
CA
Other
Enumeration date
05/22/2006
Last updated
07/08/2007
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