| NPI | 1013515287 |
|---|---|
| Doing Business As | BALWIN PARK MEDICAL GROUP, INC. |
| Entity Type | Organization |
| Authorized Contact | ERRAJITH BERTRAND R DE SILVA Medical Director 714-673-2603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 208000000X Pediatrics |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| 207V00000X Obstetrics & Gynecology | |
| Enumeration Date | 2020-10-11 |
| Last Update Date | 2020-11-15 |