Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ilan Bazak DPM Professional Corp

Organization Durable Medical Equipment & Medical Supplies · NPI 1396906111

Ilan Bazak DPM Professional Corp is a Durable Medical Equipment & Medical Supplies in West Hollywood, California. Licensed in California. Registered with an NPI since 2008.

Licensed in
CA
In the registry since
2008
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1121 N Fairfax Ave
West Hollywood, CA 90046-5306
Phone: (323) 650-6363
Fax: (323) 650-4377
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Durable Medical Equipment & Medical Supplies (primary) Taxonomy 332B00000X · Licence 0559350001 (CA)

Record details

NPI number1396906111
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ilan Bazak — Owner · (323) 650-6363
NPI enumeratedJune 24, 2008
Last updated in NPPESJuly 16, 2008
Mailing address1121 N Fairfax Ave, West Hollywood, CA 90046-5306

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