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Organization

CENTER FOR INTERVENTIONAL CARDIOLOGY & NEPHROLOGY MED GP INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GUITA BALAKHANE M.D., (PHYSICIAN)
(310) 652-2744
Entity
Organization

Contact information

Practice address
8631 W 3RD ST STE 815E, LOS ANGELES, CA 90048-5901
(310) 659-1770
(424) 265-5819
Mailing address
8635 W 3RD ST, STE# 695W, LOS ANGELES, CA 90048-6101
(310) 652-2744
(310) 967-2140

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary

Other

Enumeration date
08/31/2006
Last updated
10/22/2025
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