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Organization
BALBAS INTEGRATED MEDICAL GROUP, INC.
Active
Organization
BALBAS INTEGRATED MEDICAL GROUP, INC.
Active
Other names
Coastside Medical
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANGELITA G. BALBAS M.D. (PRESIDENT)
(707) 824-4203
Entity
Organization
Contact information
Practice address
1618 SULLIVAN AVE, 208, DALY CITY, CA 94015-1967
(707) 824-4203
Mailing address
1618 SULLIVAN AVE, 525, DALY CITY, CA 94015-1967
(707) 824-4203
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
A83354
CA
Other
Enumeration date
01/15/2014
Last updated
01/15/2014
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