Provider Demographics
NPI:1679586218
Name:BAYRAK, AYKUT (MD)
Entity Type:Individual
Prefix:DR
First Name:AYKUT
Middle Name:
Last Name:BAYRAK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 CONGRESS ST
Mailing Address - Street 2:SUITE 509
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91105-3045
Mailing Address - Country:US
Mailing Address - Phone:626-744-3288
Mailing Address - Fax:626-744-3266
Practice Address - Street 1:10 CONGRESS ST
Practice Address - Street 2:SUITE 509
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91105-3045
Practice Address - Country:US
Practice Address - Phone:626-744-3288
Practice Address - Fax:626-744-3266
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-14
Last Update Date:2011-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA78769207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACA MEDICAL LICENSEOtherCALIFORNIA MEDICAL BOARD