Jennifer P Balucan in Los Angeles - Pediatrics
Jennifer P Balucan - NPI 1124063060
Jennifer P Balucan is a Pediatrics in Los Angeles, California. Jennifer P Balucan practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Jennifer P Balucan is 1124063060. The last update date is 2007-07-09.
Jennifer P Balucan's current location address is 10833 Le Conte Ave, Los Angeles, California. You can contact this provider via phone number 3102063952 and fax number 3102060209. The mailing address for Jennifer P Balucan is 10833 Le Conte Ave, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer P Balucan |
|---|---|
| Address | 10833 Le Conte Ave, Los Angeles, California |
| Phone Number | 3102063952 |
| Fax Number | 3102060209 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1124063060 |
|---|---|
| Provider Enumeration Date | 2006-06-17 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 10833 Le Conte Ave |
|---|---|
| City | Los Angeles |
| State | California (CA) |
| Post Code | 900953075 |
| Phone Number | 3102063952 |
| Fax Number | 3102060209 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | A86854 |
|
Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00A868540 | CA | -- | |
| GR0053510 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Jennifer P Balucan by the Centers for Medicare & Medicaid Services?
The Jennifer P Balucan has been assigned the NPI (National Provider Identifier) 1124063060 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Jennifer P Balucan?
The Jennifer P Balucan is situated at 10833 Le Conte Ave, in the city of Los Angeles, state of CA, with the zip code 900953075.
What is Jennifer P Balucan's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jennifer P Balucan's area of specialization is Pediatrics, and the corresponding taxonomy code that categorizes this field of practice is 208000000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1124063060 to Jennifer P Balucan?
The Centers for Medicare & Medicaid Services originally issued the 1124063060 to Jennifer P Balucan on 2006-06-17.
As of what date were the Jennifer P Balucan's details last updated?
The information pertaining to the Jennifer P Balucan, including its address, specialty, and other details, was most recently updated on 2007-07-09.
NPI Number: 1215930425
Address: 224 W Exchange St, Akron, OH