Individual
GARO BALKIAN I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5601 DESOTO AVENUE, WOODLAND HILLS, CA 91365
(818) 719-3600
Mailing address
2191 RUSTICPARK CT, THOUSAND OAKS, CA 91362-1737
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A63683
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A636830
—
CA
Enumeration date
08/23/2006
Last updated
12/03/2021
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