Individual
DARRYL J BALLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.,INC
Contact information
Practice address
5525 ETIWANDA AVE, SUITE 224, TARZANA, CA 91356-3647
(818) 708-4848
(818) 436-4680
Mailing address
5525 ETIWANDA AVE, SUITE 224, TARZANA, CA 91356-3647
(818) 708-4848
(818) 436-4680
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
00A51935
CA
Other
Enumeration date
11/28/2006
Last updated
03/18/2015
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