MEDICARE: BZ HEALTH - MARINA, INC.

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
1	302R00000X	Health Maintenance Organization

General Provider Information

NPI Number	:	1427449750
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BZ HEALTH - MARINA, INC.

Provider Business Mailing Address
First Line	:	4368 CENTRAL AVE
Second Line	:
City	:	RIVERSIDE
State	:	CA
Zip	:	92506-2918
Country	:	US
Telephone Number	:	949-387-1314
Fax Number	:	949-396-2614

Provider Business Practice Location Address
First Line	:	3746 FOOTHILL BLVD # 118
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91214-1740
Country	:	US
Telephone Number	:	323-574-0387
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT/CEO
Name	:	DR. MUKESH BHATIA
Credential	:	MD
Telephone Number	:	949-387-1314

Provider Enumeration Date	:	02/09/2015
Last Update Date	:	07/18/2024

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