Balilo, Dale Tiglao

Balilo, Dale Tiglao is an sole proprietor health care provider with primary practice located at 6108 Blackthorne Ave , Lakewood CA 90712-1118. He recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Balilo, Dale Tiglao can be contacted via phone (619) 218-8681.

Contact Information

Primary practice address
6108 Blackthorne Ave Lakewood CA 90712-1118
Phone: (619) 218-8681
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 95160322 California

Profile Details

NPI number 1649855404
LBN Legal business name Balilo, Dale Tiglao
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 13th, 2021
Last updated Mar 13th, 2021 - about 4 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 1649855404 NPPES
California Other D2928760 CALIFORNIA REAL ID/DRIVER'S LICENSE

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