Organization
DOCTORS ON THE GO PROFESSIONAL GROUP CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOANNA SUNSHINE BALASICO (PRACTICE OWNER)
(213) 465-2643
Entity
Organization
Contact information
Practice address
22048 SHERMAN WAY STE 313, CANOGA PARK, CA 91303-3014
(213) 465-2643
Mailing address
22048 SHERMAN WAY STE 313, CANOGA PARK, CA 91303-3014
(213) 465-2643
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/26/2020
Last updated
09/09/2025
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