Vidyamohan Balu
NPI #1265815880 in San Jacinto, California
Provider Information
- NPI Number
- 1265815880
- Entity Type
- Individual
- Name
- Vidyamohan Balu
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Jul 1, 2015
- Last Updated
- Nov 13, 2018
Practice Location
- Address
- 341 E MAIN ST STE 100
- City
- San Jacinto
- State
- California
- ZIP Code
- 92583-4206
- Phone
- (951) 654-9367
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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