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NPI Code Detail

MEDICARE: DR. EVAN JAY BACHNER M.D.

MEDICARE:  DR. EVAN JAY BACHNER  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207XX0005XSports Medicine (Orthopaedic Surgery) PhysicianG72023CA

General Provider Information

NPI Number : 1336142157
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. EVAN JAY BACHNER M.D.
Provider Business Mailing Address
First Line : 7301 MEDICAL CENTER DR
Second Line : STE 400
City : WEST HILLS
State : CA
Zip : 91307-1988
Country : US
Telephone Number : 818-264-3344
Fax Number : 818-264-3433
Provider Business Practice Location Address
First Line : 7301 MEDICAL CENTER DR
Second Line : STE 400
City : WEST HILLS
State : CA
Zip : 91307-1988
Country : US
Telephone Number : 818-264-3344
Fax Number : 818-264-3433
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2005
Last Update Date : 06/01/2021

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Directions to “ DR. EVAN JAY BACHNER M.D.” Practice Location

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