Organization
BALBUENA MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EUGENIO L BALBUENA M.D. (CEO)
(510) 351-6424
Entity
Organization
Contact information
Practice address
13847 E 14TH ST, SUITE 101, SAN LEANDRO, CA 94578-2632
(510) 351-6424
(510) 351-0317
Mailing address
13847 E 14TH ST, SUITE 101, SAN LEANDRO, CA 94578-2632
(510) 351-6424
(510) 351-0317
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A27104
CA
Other
Enumeration date
09/19/2007
Last updated
09/19/2007
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