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 |