| Organization Name: | TSILYA BASS MD INC. |
| NPI Number: | 1669506549 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TSILYA BASS (PHISICIAN) |
| Mailing Address: | 11631 Victory Blvd Ste 103 N Hollywood |
| State: | CA US |
| Postal Code: | 916063572 |
| Phone Number: | 8187623116 |
| Fax Number: | 8189857923 |
| NPI Enumeration Date: | 03/15/2007 |
| NPI Last Update Date: | 07/13/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | A63630 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |