Balboa Nephrology Medical Group,inc.
NPI #1790962199 in El Centro, California
Provider Information
- NPI Number
- 1790962199
- Entity Type
- Organization
- Organization Name
- Balboa Nephrology Medical Group,inc.
- Primary Specialty
- Internal Medicine - Nephrology
- Enumeration Date
- Jan 28, 2008
- Last Updated
- Jan 16, 2026
Practice Location
- Address
- 790 W ORANGE AVE
- Address 2
- STE B
- City
- El Centro
- State
- California
- ZIP Code
- 92243-3274
- Phone
- (760) 353-0404
Authorized Official
- Name
- STEPHANIE WENCESLAO
- Title
- CONTRACTS & CREDENTIALING
- Phone
- (858) 810-8000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Nephrology — Nephrology |
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