Balin, Samuel Jackson
Balin, Samuel Jackson is an individual health care provider with primary practice located at 200 Medical Plz Ste 450 , Los Angeles CA 90095. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Balin, Samuel Jackson can be contacted via phone (310) 825-6911.Contact Information
Primary practice address
200 Medical Plz Ste 450
Los Angeles CA 90095
Phone: (310) 825-6911
Fax: (310) 794-7005
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | A123273 | California |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | A123273 | California |
Profile Details
| NPI number | 1518254481 |
|---|---|
| LBN Legal business name | Balin, Samuel Jackson |
| Credentials | M.D., PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 29th, 2011 |
| Last updated | Jul 21st, 2022 - about 3 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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