JOSE GILBERTO BAZAN

DUARTE, CA
NPI1851535504
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0001X 
(Licence: CA  A110291)
Additional Taxonomies2085R0001X 
(Licence: OH  35.121649)
Enumeration Date2009-04-25
Last Update Date2022-12-01
Business Address
JOSE GILBERTO BAZAN MD
1500 DUARTE RD
DUARTE, CA 91010-3012
Phone number: 626-256-4673
Mailing Address
JOSE GILBERTO BAZAN MD
PO BOX 512185
LOS ANGELES, CA 90051-0185
Phone number:
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