| Balboa Medical & Wellness Center,inc. | |
|
9900 Balboa Blvd Suite E Northridge CA 91325-5403 | |
| (818) 701-0017 | |
| (818) 701-0073 |
| Full Name | Balboa Medical & Wellness Center,inc. |
|---|---|
| Speciality | General Practice |
| Location | 9900 Balboa Blvd, Northridge, California |
| Authorized Official Name and Position | Fred Garcia (MEDICAL DIRECTOR) |
| Authorized Official Contact | 8187010017 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Balboa Medical & Wellness Center,inc. 9900 Balboa Blvd Suite E Northridge CA 91325-5403 Ph: (818) 701-0017 | Balboa Medical & Wellness Center,inc. 9900 Balboa Blvd Suite E Northridge CA 91325-5403 Ph: (818) 701-0017 |
| NPI Number | 1215132238 |
|---|---|
| Provider Enumeration Date | 06/19/2007 |
| Last Update Date | 06/07/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215132238 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | C51139 (California) | Primary |
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