Balboa Nephrology Med. Grp.,inc.

NPI 1316997505 - Surgery - 208600000X

NPI Details
NPI 1316997505
Enumeration Date 05/11/2006
Last Updated 01/29/2015
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name DYLAN L DYLAN
Position MEDICAL CORP. CEO
Phone (858) 810-8000
Fax (858) 268-1911
Practice Location
7910 FROST ST
STE 220
SAN DIEGO CA, 92123-2771, US
Phone (858) 810-8000
Fax (858) 268-1911
Business Location
9610 GRANITE RIDGE DR
STE B
SAN DIEGO CA, 92123-2684, US
Phone (858) 810-8000
Fax (858) 268-1911
Toxanomy
Taxonomy Code 208600000X
License State
License Number
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According to our database, Balboa Nephrology Med. Grp.,inc. NPI is 1316997505, taxonomy code is 208600000X Balboa Nephrology Med. Grp.,inc. physically located at 7910 Frost St, San Diego CA, 92123-2771. NPI Number 1033115704 has the healthcare provider type.

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1316997505 NPI number is provided on an as is basis without warranty of any kind. 1316997505 is maintained by the National Plan & Provider Enumeration System. The contents of Balboa Nephrology Med. Grp.,inc. are for informational purposes only.