ILAN BAZAK DPM PROFESSIONAL CORP
NPI 1396906111
Durable Medical Equipment & Medical Supplies in West Hollywood, CA

Q: What is Ilan Bazak Dpm Professional Corp's NPI number?

The NPI number for Ilan Bazak Dpm Professional Corp is 1396906111. It was assigned to this organization in the NPPES registry on June 24, 2008.

Q: What is Ilan Bazak Dpm Professional Corp's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Active since June 24, 2008

1121 N FAIRFAX AVE, WEST HOLLYWOOD, CA 90046(323) 650-6363(323) 650-4377 Get Directions Write a Review

NPPES record last updated: July 16, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Ilan Bazak Dpm Professional Corp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ILAN BAZAK DPM PROFESSIONAL CORP (NPI 1396906111) is a healthcare organization registered as a durable medical equipment & medical supplies in West Hollywood, California and active in the NPI registry since June 2008. The organization lists Ilan Bazak, Owner, as its authorized official.

NPPES Registry Identity

NPI1396906111

Entity TypeOrganization

Primary Taxonomy332B00000X

Legal Business NameILAN BAZAK DPM PROFESSIONAL CORP

Location Address1121 N FAIRFAX AVEWest Hollywood, CA 90046-5306

Mailing Address1121 N Fairfax AveWest Hollywood, CA 90046-5306 · (323) 650-6363 · Fax (323) 650-4377

Phone(323) 650-6363

Fax(323) 650-4377

Organization SubpartNo

Authorized OfficialIlan BazakOwner · (323) 650-6363

Enumeration DateJune 24, 2008

Last NPPES UpdateJuly 16, 2008

✔ NPI 1396906111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers

Taxonomy Code332B00000X

License✔ Licensed in CA · 0559350001

Definition

A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

1121 N FAIRFAX AVE, West Hollywood, CA 90046

Open in Google Maps ↗

Other Identifiers 3

Medicare NSC0559350001CA

Medicare UPINU11985CA

Medicare PINE3741BCA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ilan Bazak Dpm Professional Corp's NPI number?

The NPI number for Ilan Bazak Dpm Professional Corp is 1396906111. It was assigned to this organization in the NPPES registry on June 24, 2008.

Where is Ilan Bazak Dpm Professional Corp located?

Ilan Bazak Dpm Professional Corp is located at 1121 N Fairfax Ave, West Hollywood, CA 90046. The listed phone number is (323) 650-6363.

What is Ilan Bazak Dpm Professional Corp's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Ilan Bazak Dpm Professional Corp was last updated on July 16, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.