Mr Orlando Lomboy Balala Jr, | |
2409 Inglewood Ave Unit 3, Redondo Beach, CA 90278-2658 | |
(808) 277-3379 | |
Not Available |
Full Name | Mr Orlando Lomboy Balala Jr |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 16 Years |
Location | 2409 Inglewood Ave Unit 3, Redondo Beach, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235374596 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 18480 (California) | Primary |
364S00000X | Clinical Nurse Specialist | 3043 (California) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
County Of Los Angeles | 1850296534 | 270 |
Entity Name | County Of Los Angeles |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851363188 PECOS PAC ID: 1850296534 Enrollment ID: O20031204001218 |
Mailing Address | Practice Location Address |
---|---|
Mr Orlando Lomboy Balala Jr, 2409 Inglewood Ave Unit 3, Redondo Beach, CA 90278-2658 Ph: (808) 277-3379 | Mr Orlando Lomboy Balala Jr, 2409 Inglewood Ave Unit 3, Redondo Beach, CA 90278-2658 Ph: (808) 277-3379 |
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