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1902069578
FREDRIC D. BALGUMA
IRVINE, CA
NPI
1902069578
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA 20A9975)
Enumeration Date
2008-07-03
Last Update Date
2021-12-02
Business Address
-- FREDRIC D. BALGUMA DO
4050 BARRANCA PKWY SUITE 200
IRVINE, CA 92604-7706
Phone number: 949-551-1090
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Mailing Address
-- FREDRIC D. BALGUMA DO
17360 BROOKHURST ST ATTN: MCMF - CREDENTIALING DEPT.
FOUNTAIN VALLEY, CA 92708-3720
Phone number:
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