National Provider Identifier Database

BALBOA SURGICAL ASSOCIATES INC
Vascular Surgery

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.


Contact Information

BALBOA SURGICAL ASSOCIATES INC.
2501 E CHAPMAN AVE STE 220
FULLERTON, CA92831-3108
Phone: 949-872-5192
Fax:
Website:
Specialty Taxonomy Code
* Vascular Surgery 2086S0129X
Cardiovascular Disease 207RC0000X

* Indicates primary specialty

NPI Profile & details for BALBOA SURGICAL ASSOCIATES INC.

NPI Number 1205599149
Legal business name
LBN
BALBOA SURGICAL ASSOCIATES INC.
Authorized official DIANA HART - (BILLING MANAGER)
Entity Organization
Organization subpart No
Enumeration date 10/18/2021
Last updated 10/18/2021 - About 5 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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