Individual
DR. BALAJI NETTIMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
42525 RANCHO MIRAGE LN, RANCHO MIRAGE, CA 92270-4312
(760) 799-1000
Mailing address
13332 SILVER STIRRUP DR, CORONA, CA 92883-7932
(760) 799-1000
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY 23115
CA
Other
Enumeration date
09/04/2008
Last updated
11/15/2012
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