Individual
DR. BALAJI S CHARLU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
22 CORPORATE PLAZA DR, NEWPORT BEACH, CA 92660-7985
(949) 722-7038
(949) 630-4900
Mailing address
22 CORPORATE PLAZA DR, NEWPORT BEACH, CA 92660-7985
(949) 722-7038
(949) 630-4900
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
36812
IA
208VP0000X
Pain Medicine Physician
A103911
CA
208VP0014X
Interventional Pain Medicine Physician
36812
IA
208VP0014X
Interventional Pain Medicine Physician
Primary
A103911
CA
Other
Enumeration date
08/18/2006
Last updated
02/17/2020
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