Bazan Enterprises LLC

Primary specialty

Point of ServiceTaxonomy code 305S00000X

Legal business name

BAZAN ENTERPRISES LLC

Practice address

11872 Sheldon St
Sun Valley, CA 91352-1507

Phone

(818) 689-3687

Fax

(212) 888-6024

NPI assigned

Dec 17, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Hugo Marquez

Title

Ceo

Phone

(818) 689-3687

Specialties & licenses 3

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1734393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734393600000",
    "number": "1497562029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 HUDSON ST STE 301",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076016655",
            "telephone_number": "201-641-2125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11872 SHELDON ST",
            "city": "SUN VALLEY",
            "state": "CA",
            "postal_code": "913521507",
            "telephone_number": "818-689-3687",
            "fax_number": "212-888-6024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAZAN ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-17",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A",
        "authorized_official_last_name": "MARQUEZ",
        "authorized_official_first_name": "HUGO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-689-3687"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "405300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Prevention Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Point of Service in Sun Valley, CA
• Providers in Sun Valley, CA by specialty
• Point of Service in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.