Balboa Medical & Wellness Center,inc.
NPI #1215132238 in Northridge, California
Provider Information
- NPI Number
- 1215132238
- Entity Type
- Organization
- Organization Name
- Balboa Medical & Wellness Center,inc.
- Primary Specialty
- General Practice
- Enumeration Date
- Jun 19, 2007
- Last Updated
- Jun 7, 2010
Practice Location
- Address
- 9900 BALBOA BLVD
- Address 2
- SUITE E
- City
- Northridge
- State
- California
- ZIP Code
- 91325-5403
- Phone
- (818) 701-0017
Authorized Official
- Name
- DR. FRED GARCIA, M.D.
- Title
- MEDICAL DIRECTOR
- Phone
- (818) 701-0017
Specialties & Taxonomy Codes
| Specialty |
|---|
| General Practice |
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