Individual
DOUGLAS A BALLESTEROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2400 E 4TH ST, EMERGENCY DEPARTMENT, NATIONAL CITY, CA 91950-2026
(619) 470-4321
Mailing address
1700 E WALNUT AVE, SUITE 250, EL SEGUNDO, CA 90245-2605
(310) 301-2030
(310) 306-5247
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A74965
CA
Other
Enumeration date
06/05/2006
Last updated
02/01/2019
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