Organization
HEALTH IN BALANCE INTEGRATIVE MEDICINE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARCELA DOMINGUEZ (OWNER)
(949) 497-2553
Entity
Organization
Contact information
Practice address
330 PARK AVE, STE. 3, LAGUNA BEACH, CA 92651-2352
(949) 497-2553
(949) 497-5273
Mailing address
330 PARK AVE, STE. 3, LAGUNA BEACH, CA 92651-2352
(949) 497-2553
(949) 497-5273
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
207Q00000X
Family Medicine Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
225100000X
Physical Therapist
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
03/04/2015
Last updated
03/08/2017
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