Dr Elias Ballat, DO | |
1600 W Avenue J, Lancaster, CA 93534-2814 | |
(661) 949-5000 | |
Not Available |
Full Name | Dr Elias Ballat |
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Gender | Male |
Speciality | Hospitalist |
Location | 1600 W Avenue J, Lancaster, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265882336 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | 20A15965 (California) | Primary |
207R00000X | Internal Medicine | 20A15965 (California) | Secondary |
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Entity Name | Unified Health Associates |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326773672 PECOS PAC ID: 0749664910 Enrollment ID: O20220907002679 |
Mailing Address | Practice Location Address |
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Dr Elias Ballat, DO 29413 Dakotah Ct, Canyon Country, CA 91387-7101 Ph: () - | Dr Elias Ballat, DO 1600 W Avenue J, Lancaster, CA 93534-2814 Ph: (661) 949-5000 |
Dr. Walter Win Tun Ang, M.D Hospitalist Medicare: Medicare Enrolled Practice Location: 43839 15th St W, Lancaster, CA 93534 Phone: 661-945-5984 | |
Dr. Melanie Fay Dawes, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 43839 15th St W, Lancaster, CA 93534 Phone: 661-945-5984 |