Balboa Nephrology Med Grp Inc

LBN: Balboa Nephrology Med Grp Inc
Balboa Nephrology Med Grp Inc is an health care organization with primary practice located at 2205 Ross Ave Suite 101, El Centro CA 92243-3623. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as the primary health care specialty. Balboa Nephrology Med Grp Inc can be contacted via phone (760) 353-0404, or through Wenceslao, Stephanie via phone (858) 810-8000.

Contact Information

Primary practice address
2205 Ross Ave Suite 101 El Centro CA 92243-3623
Phone: (760) 353-0404
Fax: (760) 353-0392
Website:
Map and Directions
Authorized official contact:
Name: Wenceslao, Stephanie
Phone: (858) 810-8000

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X California

Profile Details

NPI number 1750569489
LBN Legal business name Balboa Nephrology Med Grp Inc
DBA Doing business as
Authorized official Wenceslao, Stephanie
Entity Organization
Organization subpart 1 No
Enumeration date Feb 5th, 2008
Last updated Feb 8th, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750569489 NPPES
California MEDICAID GR0103520

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