NPI Profile for KRISTOPHER K BALUYOT in GLENDALE, CA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Medical |
363AM0700X | 97 | Physician Assistant | |
Neonatal/Pediatrics |
2279P3900X |
| NPI # | 1215402185 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 10/08/2018 | |
| Last updated | 02/20/2024 - About 2 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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KRISTOPHER K BALUYOT
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