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Organization
DOCTORS ON THE GO PROFESSIONAL GROUP CORP
Active
Organization
DOCTORS ON THE GO PROFESSIONAL GROUP CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOANNA SUNSHINE BALASICO (PRACTICE OWNER)
(213) 465-2643
Entity
Organization
Contact information
Practice address
22048 SHERMAN WAY STE 313, CANOGA PARK, CA 91303-3014
(213) 465-2643
Mailing address
22048 SHERMAN WAY STE 313, CANOGA PARK, CA 91303-3014
(213) 465-2643
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
363L00000X
Nurse Practitioner
Primary
—
NULL
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/26/2020
Last updated
09/09/2025
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