# EDWARD A. BALBAS, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** OC Back & Body Doctors
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407149297
- **Authorized official:** DR. DESIREE D EDLUND D.C. (PRESIDENT)
- **Authorized official phone:** (949) 724-0011

## Contact information

- **Practice address:** 17264 RED HILL AVE, IRVINE, CA 92614-5628
- **Practice address phone:** (949) 724-0011
- **Practice address fax:** (949) 724-0012
- **Mailing address:** 17264 RED HILL AVE, IRVINE, CA 92614-5628
- **Mailing address phone:** (949) 724-0011
- **Mailing address fax:** (949) 724-0012

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | A89036 | CA | Yes |
| 225100000X | Physical Therapist | PT35232 | CA | — |

## Other

- **Enumeration date:** 05/26/2011
- **Last updated:** 02/11/2015
