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Organization
HEALTH IN BALANCE INTEGRATIVE MEDICINE INC.
Active
Organization
HEALTH IN BALANCE INTEGRATIVE MEDICINE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARCELA DOMINGUEZ (OWNER)
(949) 497-2553
Entity
Organization
Contact information
Practice address
330 PARK AVE, STE. 3, LAGUNA BEACH, CA 92651-2352
(949) 497-2553
(949) 497-5273
Mailing address
330 PARK AVE, STE. 3, LAGUNA BEACH, CA 92651-2352
(949) 497-2553
(949) 497-5273
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
NULL
111N00000X
Chiropractor
—
—
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
225100000X
Physical Therapist
—
NULL
225100000X
Physical Therapist
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
03/04/2015
Last updated
03/08/2017
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