Individual
FELICIA BALZANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1500 DUARTE RD, DUARTE, CA 91010-3012
(626) 256-4673
Mailing address
PO BOX 512185, LOS ANGELES, CA 90051-0185
(626) 775-3200
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
82717
WI
208800000X
Urology Physician
Primary
A168902
CA
208800000X
Urology Physician
D98588
MD
Other
Enumeration date
05/07/2015
Last updated
12/05/2023
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