Individual
ANNA BALIOUKOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
757 WESTWOOD PLZ, LOS ANGELES, CA 90095-1652
(310) 825-9111
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
23634
CA
Other
Enumeration date
09/20/2013
Last updated
10/30/2023
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