Individual
EAMAN BALOUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
222 N PACIFIC COAST HWY STE 1420, EL SEGUNDO, CA 90245-5648
(310) 524-1305
Mailing address
222 N PACIFIC COAST HWY STE 1420, EL SEGUNDO, CA 90245-5648
(310) 524-1305
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A167007
CA
Other
Enumeration date
07/12/2016
Last updated
03/07/2023
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