Organization
BALDERRAMA MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERICK R. BALDERRAMA M.D. (PHYSICIAN)
(818) 908-8000
Entity
Organization
Contact information
Practice address
14342 VICTORY BLVD, VAN NUYS, CA 91401-1944
(818) 908-8000
Mailing address
14342 VICTORY BLVD, VAN NUYS, CA 91401-1944
(818) 908-8000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
05/16/2011
Last updated
05/16/2011
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