Organization
DARRYL J BALLIN, MD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DARRYL J BALLIN M.D. (PRESIDENT)
(818) 708-4848
Entity
Organization
Contact information
Practice address
5525 ETIWANDA AVE, 224, TARZANA, CA 91356-3647
(818) 708-4848
(818) 436-4680
Mailing address
5525 ETIWANDA AVE, 224, TARZANA, CA 91356-3647
(818) 708-4848
(818) 436-4680
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
03/16/2015
Last updated
03/16/2015
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