Individual
DR. BILL BALNTAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1701 S WESTERN AVE, LOS ANGELES, CA 90006-5803
(323) 731-9247
Mailing address
1609 EL RITO AVE, GLENDALE, CA 91208-2032
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
61585
CA
Other
Enumeration date
04/28/2016
Last updated
04/28/2016
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