Individual
ELIZABETH ANDREA BALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3226 BROAD ST, NEWPORT BEACH, CA 92663-4224
(949) 410-4207
Mailing address
3226 BROAD ST, NEWPORT BEACH, CA 92663-4224
(949) 410-4207
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A91889
CA
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
A91889
CA
Other
Enumeration date
09/29/2007
Last updated
06/08/2020
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