Organization
BALANCED SKIN DERMATOLOGY AND AESTHETICS PC
Active
Organization
BALANCED SKIN DERMATOLOGY AND AESTHETICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUCHISMITA PAUL MD (FOUNDER)
(717) 201-2498
Entity
Organization
Contact information
Practice address
4321 BIRCH ST, NEWPORT BEACH, CA 92660-1923
(717) 201-2498
Mailing address
12542 VISTA PANORAMA, SANTA ANA, CA 92705-1314
(717) 201-2498
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
08/28/2023
Last updated
08/28/2023
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