SHANA L BALLOW DO INC

PASADENA, CA
NPI1538417381
Entity TypeOrganization
Authorized ContactSHANA LYNN BALLOW
President
818-640-3552
Organization Subpart ?No
Primary Taxonomy2086S0127X Surgery, Trauma Surgery
(Licence: CA  20a10299)
Enumeration Date2012-08-28
Last Update Date2012-08-31
Business Address
SHANA L BALLOW DO INC
1044 S FAIR OAKS AVE SUITE 101
PASADENA, CA 91105-2622
Phone number: 626-768-4415
Mailing Address
SHANA L BALLOW DO INC
2730 WILSHIRE BVLD SUITE 400
SANTA MONICA, CA 90403-4751
Phone number: 626-768-4415