| NPI | 1013210756 |
|---|---|
| Former Legal Business Name | PETER C. BALACUIT M.D. INC. |
| Entity Type | Organization |
| Authorized Contact | PETER C. BALACUIT President 626-357-3296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A33654) |
| Enumeration Date | 2010-12-20 |
| Last Update Date | 2019-05-14 |