Individual
ANDREW CORY BALCORTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14200 RUNNYMEDE ST, VAN NUYS, CA 91405-1435
(818) 389-1184
Mailing address
20652 LASSEN ST SPC 62, CHATSWORTH, CA 91311-0662
(818) 414-3813
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
AFBDEA267F
CA
Other
Enumeration date
04/01/2025
Last updated
04/01/2025
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