| NPI | 1609403807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNA SUNSHINE BALASICO Practice Owner 213-465-2643 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2020-03-26 |
| Last Update Date | 2025-09-09 |