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Contact Information

MARYAM BALOUCH, MD
1955 CITRACADO PKWY
SUITE 300
ESCONDIDO, CA92029-4110
 Phone: 760-743-0546
 Fax: 760-743-8837
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MARYAM BALOUCH · (Female)

NPI # 1215201108
Status Active
Credentials MD
Entity Individual
Enumeration date 02/24/2012
Last updated 03/25/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • CA License # A121988
  • CA Other 113998 SID # 113998
Hospital affiliation(s)
  • KAISER FOUNDATION HOSPITAL ANAHEIM - (Acute Care)
    441 N LAKEVIEW AVENUE
    ANAHEIM, CA 92807
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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