Organization
EB PSYCH SOLUTION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ENRICO URO BALCOS MD (PRESIDENT)
(626) 268-9480
Entity
Organization
Contact information
Practice address
4619 ROSEMEAD BLVD, ROSEMEAD, CA 91770-1478
(626) 268-9480
Mailing address
122A E FOOTHILL BLVD # 338, ARCADIA, CA 91006-2505
(626) 268-9480
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A63633
CA
2084P0804X
Child & Adolescent Psychiatry Physician
A63363
CA
Other
Enumeration date
10/16/2017
Last updated
01/06/2024
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