Balderrama, Alexander

Balderrama, Alexander is an individual health care provider with primary practice located at 3630 East Imperial Highway , Lynwood CA 90262-2678. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Balderrama, Alexander can be contacted via phone (310) 900-8900.

Contact Information

Primary practice address
3630 East Imperial Highway Lynwood CA 90262-2678
Phone: (310) 900-8900
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA10019 California

Profile Details

NPI number 1649204470
LBN Legal business name Balderrama, Alexander
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Dec 8th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649204470 NPPES
California MEDICAID PA10019

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