Organization
BALBOA MEDICAL & WELLNESS CENTER,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRED GARCIA M.D. (MEDICAL DIRECTOR)
(818) 701-0017
Entity
Organization
Contact information
Practice address
9900 BALBOA BLVD, SUITE E, NORTHRIDGE, CA 91325-5403
(818) 701-0017
(818) 701-0073
Mailing address
9900 BALBOA BLVD, SUITE E, NORTHRIDGE, CA 91325-5403
(818) 701-0017
(818) 701-0073
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
C51139
CA
Other
Enumeration date
06/19/2007
Last updated
06/07/2010
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