Individual
DR. ELIAS BALLAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1600 W AVENUE J, LANCASTER, CA 93534-2814
(661) 949-5000
Mailing address
29413 DAKOTAH CT, CANYON COUNTRY, CA 91387-7101
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
20A15965
CA
208M00000X
Hospitalist Physician
Primary
20A15965
CA
Other
Enumeration date
06/20/2016
Last updated
12/03/2021
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