Organization
BALBAS INTEGRATED MEDICAL GROUP, INC.
Active
Other names
Coastside Medical
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANGELITA G. BALBAS M.D. (PRESIDENT)
(707) 824-4203
Entity
Organization
Contact information
Practice address
1618 SULLIVAN AVE, 208, DALY CITY, CA 94015-1967
(707) 824-4203
Mailing address
1618 SULLIVAN AVE, 525, DALY CITY, CA 94015-1967
(707) 824-4203
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
A83354
CA
Other
Enumeration date
01/15/2014
Last updated
01/15/2014
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