Individual
PHILIP J BALIKIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15611 POMERADO RD, POWAY, CA 92064-2437
(858) 613-8900
Mailing address
PO BOX 28199, SAN DIEGO, CA 92198-0199
(858) 613-8900
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
35679
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64016215
—
KY
Enumeration date
05/31/2006
Last updated
03/06/2012
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