Individual
MADISON RYAN BALACHIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
414 N CAMDEN DR STE 1100, BEVERLY HILLS, CA 90210-4576
(310) 278-3400
Mailing address
414 N CAMDEN DR STE 1100, BEVERLY HILLS, CA 90210-4576
(805) 410-0224
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA65323
CA
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
03/07/2024
Last updated
10/29/2024
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