Balwin Park Medical Group, Inc.

NPI #1013515287 in Baldwin Park, California

Provider Information

NPI Number: 1013515287
Entity Type: Organization
Organization Name: Balwin Park Medical Group, Inc.
Primary Specialty: General Practice
Enumeration Date: Oct 11, 2020
Last Updated: Nov 15, 2020

Practice Location

Address: 14652 PACIFIC AVE
City: Baldwin Park
State: California
ZIP Code: 91706-5333
Phone: (626) 337-1360

Authorized Official

Name: ERRAJITH BERTRAND R DE SILVA, MEDICAL DOCTOR
Title: MEDICAL DIRECTOR
Phone: (714) 673-2603

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X
Family Medicine	207Q00000X
Internal Medicine	207R00000X
Obstetrics & Gynecology	207V00000X
General Practice	208D00000X	Primary

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