Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
BALWIN PARK MEDICAL GROUP, INC.
Active
Organization
BALWIN PARK MEDICAL GROUP, INC.
Active
Other names
Balwin Park Medical Group, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
ERRAJITH BERTRAND R DE SILVA MEDICAL DOCTOR (MEDICAL DIRECTOR)
(714) 673-2603
Entity
Organization
Contact information
Practice address
14652 PACIFIC AVE, BALDWIN PARK, CA 91706-5333
(626) 337-1360
(323) 962-1375
Mailing address
14652 PACIFIC AVE, BALDWIN PARK, CA 91706-5333
(626) 337-1360
(626) 962-1375
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
NULL
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
NULL
208000000X
Pediatrics Physician
—
—
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
10/11/2020
Last updated
11/15/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers