Individual
DR. ALICIA LISHAN BALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
760 WESTWOOD PLZ # C8-193, LOS ANGELES, CA 90095-8353
(310) 825-6301
(310) 825-0340
Mailing address
760 WESTWOOD PLZ # C8-193, LOS ANGELES, CA 90095-8353
(310) 825-6301
(310) 825-0340
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A110948
CA
Other
Enumeration date
03/31/2008
Last updated
03/03/2011
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