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General NPI Number Information
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NPI Number | 1427449750
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Entity Type | Organization
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Legal Business Name | BZ HEALTH - MARINA, INC.
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Dates
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Enumeration Date | 02/09/2015
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Last Update Date | 07/18/2024
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Provider Practice Location Address
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Address Line | 3746 FOOTHILL BLVD # 118
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City | GLENDALE
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State | CA
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Zip | 91214-1740
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Country | US
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Telephone | 323-574-0387
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Fax |
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Provider Business Mailing Address
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Address Line | 4368 CENTRAL AVE
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City | RIVERSIDE
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State | CA
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Zip | 92506-2918
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Country | US
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Telephone | 949-387-1314
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Fax | 949-396-2614
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | DR. MUKESH BHATIA
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Credential | MD
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Telephone | 949-387-1314
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number |
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License Number State |
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