Individual
DREW RANDALL BALCOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4019 WESTERLY PL STE 102, NEWPORT BEACH, CA 92660-2333
(714) 519-6461
Mailing address
PO BOX 1501, BREA, CA 92822-1501
(714) 519-6461
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
94028862
CA
Other
Enumeration date
01/15/2021
Last updated
03/13/2025
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