Organization
BALANCE WITHIN - AN INTEGRATIVE ACUPUNCTURE CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALEXANDER EZZATI L.AC (OWNER)
(818) 478-9401
Entity
Organization
Contact information
Practice address
16200 VENTURA BLVD STE 409, ENCINO, CA 91436-4699
(818) 478-9401
(818) 478-9411
Mailing address
16200 VENTURA BLVD STE 409, ENCINO, CA 91436-4699
(818) 478-9401
(818) 478-9411
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
AC14696
CA
Other
Enumeration date
07/29/2015
Last updated
07/29/2015
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