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Contact Information

SASHA BALLEZA, CPNP
3605 VISTA WAY STE 130
OCEANSIDE, CA92056-4565
 Phone: 760-547-1010
 Fax: 760-547-1011
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

363LP0200X 50 Nurse Practitioner
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for SASHA BALLEZA · (Female)

NPI # 1750706263
Status Active
Credentials CPNP (Certified Pediatric Nurse Practitioner)
Entity Individual
Enumeration date 02/20/2014
Last updated 12/31/2020 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 845876
  • CA License # 95001230
  • MA License # RN2284708
Hospital affiliation(s) Not Available
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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