Ilan Bazak Dpm Professional Corp
Durable Medical Equipment & Medical Supplies
1121 N Fairfax Ave, West Hollywood
California, 90046-5306
323-650-6363 323-650-4377
Ilan Bazak Dpm Professional Corp is a Durable Medical Equipment & Medical Supplies in West Hollywood, California. It is located at 1121 N Fairfax Ave, West Hollywood and it's customer support contact number is 323-650-6363. The authorized person of Ilan Bazak Dpm Professional Corp is Dr. Ilan Bazak, D.P.M who is Owner of this DME and his contact number is 323-650-6363. Active license number of Ilan Bazak Dpm Professional Corp is 0559350001 for Durable Medical Equipment & Medical Supplies in California. Ilan Bazak Dpm Professional Corp accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Ilan Bazak Dpm Professional Corp is 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.
DME Supplier Details:
Ilan Bazak Dpm Professional Corp type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Ilan Bazak Dpm Professional Corp |
| Type: | Durable Medical Equipment & Medical Supplies |
| Location: | 1121 N Fairfax Ave, West Hollywood,
California, 90046-5306 |
| Phone: | 323-650-6363 |
| Fax: | 323-650-4377 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Ilan Bazak |
| Credentials: | D.P.M |
| Position: | Owner |
| Contact Number: | 323-650-6363 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1396906111 |
| NPI Enumeration Date: | 24 Jun, 2008 |
| NPI Last Update On: | 16 Jul, 2008 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ilan Bazak Dpm Professional Corp are as mentioned below.
| Specialization | License Number | State | Status | |
| Durable Medical Equipment & Medical Supplies | 0559350001 | California | Primary | |
Medicare Enrollment:
Ilan Bazak Dpm Professional Corp is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 7618096413 | O20100930066751 | Ilan Bazak Dpm Professional Corp | DME SUPPLIER - PHYSICIAN - PODIATRY |
| 7618096413 | O20101021000720 | Ilan Bazak Dpm Professional Corp | PART B SUPPLIER - CLINIC/GROUP PRACTICE |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1121 N Fairfax Ave,
West Hollywood, California |
| Zip: | 90046-5306 |
| Phone Number: | 323-650-6363 |
| Fax Number: | 323-650-4377 |
Patients can reach Ilan Bazak Dpm Professional Corp at
1121 N Fairfax Ave, West Hollywood, California or can
call on customer care at 323-650-6363.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.