Samuel C Ballon Md Facog Facs Frcsc A Prof Corporation in San Jose - Specialist
Samuel C Ballon Md Facog Facs Frcsc A Prof Corporation - NPI 1205012127
Samuel C Ballon Md Facog Facs Frcsc A Prof Corporation is a Specialist in San Jose, California. Samuel C Ballon Md Facog Facs Frcsc A Prof Corporation practices all healthcare services and medical treatments related to Specialist. The NPI Number for Samuel C Ballon Md Facog Facs Frcsc A Prof Corporation is 1205012127. The last update date is 2015-05-12.
Samuel C Ballon Md Facog Facs Frcsc A Prof Corporation's current location address is 2504 Samaritan Dr Ste 20, San Jose, California. You can contact this provider via phone number 4083563725 and fax number 4083763713. The mailing address for Samuel C Ballon Md Facog Facs Frcsc A Prof Corporation is 2504 Samaritan Dr Ste 20, San Jose, California. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Samuel C Ballon Md Facog Facs Frcsc A Prof Corporation |
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Address | 2504 Samaritan Dr Ste 20, San Jose, California |
Phone Number | 4083563725 |
Fax Number | 4083763713 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | CEO |
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Authorized Official Name | Ballon C Samuel |
Credentials | M.D. |
Telephone Number | 4083563725 |
NPI Number Detail
NPI Number | 1205012127 |
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Provider Enumeration Date | 2008-01-10 |
Last Updated Date | 2015-05-12 |
Provider Mailing Address Detail
Address | 2504 Samaritan Dr Ste 20 |
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City | San Jose |
State | California (CA) |
Post Code | 951244005 |
Phone Number | 4083563725 |
Fax Number | 4083763713 |
Provider's Primary Taxonomy Detail
Speciality | Specialist |
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Taxonomy | 174400000X |
Licence No | G21751 |
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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What is the unique 10-digit identification code assigned to Samuel C Ballon Md Facog Facs Frcsc A Prof Corporation by the Centers for Medicare & Medicaid Services?
The Samuel C Ballon Md Facog Facs Frcsc A Prof Corporation has been issued the NPI (National Provider Identifier) 1205012127, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Samuel C Ballon Md Facog Facs Frcsc A Prof Corporation's facilities are situated?
The facilities of Samuel C Ballon Md Facog Facs Frcsc A Prof Corporation are physically located at the following address: 2504 Samaritan Dr Ste 20, San Jose, CA, 951244005.
What is Samuel C Ballon Md Facog Facs Frcsc A Prof Corporation's specialized field of practice, and what is the corresponding taxonomy classification code?
The Samuel C Ballon Md Facog Facs Frcsc A Prof Corporation's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1205012127 to Samuel C Ballon Md Facog Facs Frcsc A Prof Corporation?
The Centers for Medicare & Medicaid Services assigned the 1205012127 to Samuel C Ballon Md Facog Facs Frcsc A Prof Corporation on 2008-01-10.
As of what date were the Samuel C Ballon Md Facog Facs Frcsc A Prof Corporation's details last updated?
The information pertaining to the Samuel C Ballon Md Facog Facs Frcsc A Prof Corporation, including its address, specialty, and other details, was most recently updated on 2015-05-12.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY