Organization
BALBOA NEPHROLOGY ASSOCIATES
Active
Other names
Balboa Vascular Center
Organization subpart
No
Provider details
NPI number
Authorized official
SHAUN EDELSTEIN (CFO)
(619) 454-1127
Entity
Organization
Contact information
Practice address
6402 EL CAJON BLVD STE 100, SAN DIEGO, CA 92115-2645
(619) 582-4490
(619) 582-4737
Mailing address
6402 EL CAJON BLVD STE 100, SAN DIEGO, CA 92115-2645
(619) 582-4490
(619) 582-4737
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
04/03/2025
Last updated
04/03/2025
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