Provider Demographics
NPI:1033699186
Name:BFM VISITS INC
Entity Type:Organization
Organization Name:BFM VISITS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:BISSELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-808-2998
Mailing Address - Street 1:18305 SHERMAN WAY STE 3
Mailing Address - Street 2:
Mailing Address - City:RESEDA
Mailing Address - State:CA
Mailing Address - Zip Code:91335-4425
Mailing Address - Country:US
Mailing Address - Phone:818-808-2998
Mailing Address - Fax:
Practice Address - Street 1:18305 SHERMAN WAY STE 3
Practice Address - Street 2:
Practice Address - City:RESEDA
Practice Address - State:CA
Practice Address - Zip Code:91335-4425
Practice Address - Country:US
Practice Address - Phone:818-477-0798
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-17
Last Update Date:2018-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric MedicineGroup - Multi-Specialty