Individual
DR. ANDREW CHURCH BALFOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
555 S BROADWAY, LOS ANGELES, CA 90013-2301
(213) 627-5911
(213) 622-8048
Mailing address
555 S BROADWAY, LOS ANGELES, CA 90013-2301
(213) 627-5911
(213) 622-8048
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6862T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0068620
—
CA
Enumeration date
08/14/2006
Last updated
07/09/2007
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