Organization
SWISS BALANCE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEFAN MOSER C.PED (CEO)
(310) 458-9648
Entity
Organization
Contact information
Practice address
1260 15TH ST, STE 1402, SANTA MONICA, CA 90404-1135
(310) 458-9648
(310) 451-2002
Mailing address
1260 15TH ST, STE 1402, SANTA MONICA, CA 90404-1135
(310) 458-9648
(310) 451-2002
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0160010001
PACIFICARE
CA
05
—
GFC000200
—
CA
01
—
ZZZ07389Z
BLUE SHIELD
CA
Enumeration date
08/31/2005
Last updated
04/13/2012
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