OrganizationActive
Bazan Enterprises LLC
NPI 1497562029 · Point of Service · Sun Valley, CA
Provider details
- NPI number
- 1497562029
- Entity type
- Organization
- Primary specialty
- Point of ServiceManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Hugo Marquez, Ceo(818) 689-3687
Specialties & taxonomies
Managed Care Organizations
- Community/Behavioral Health Agency251S00000X
Agencies
- Prevention Professional405300000X
Other Service Providers
Practice location
11872 Sheldon St
Sun Valley, CA 91352-1507
Phone: (818) 689-3687
Fax: (212) 888-6024
Approximate (ZIP-level) locationGet directions
Mailing address
560 Hudson St Ste 301
Hackensack, NJ 07601-6655
Registry dates
- Enumerated
- 2024-12-17
- Last updated
- 2024-12-17
- Certified
- 2024-12-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.