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NPI Code Detail

MEDICARE: GEORGE BALOYRA D.C.

MEDICARE: GEORGE BALOYRA D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractorDC27008CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1DC0270080OTHERCABLUE SHIELD

General Provider Information

NPI Number : 1841371838
Entity Type Code : Individual
Provider Name (Legal Business Name) : GEORGE BALOYRA D.C.
Provider Business Mailing Address
First Line : 15520 ROCKFIELD BLVD
Second Line : STE A200
City : IRVINE
State : CA
Zip : 92618-6705
Country : US
Telephone Number : 949-598-9999
Fax Number : 949-598-9990
Provider Business Practice Location Address
First Line : 1511 TREAT BLVD
Second Line : 100
City : WALNUT CREEK
State : CA
Zip : 94598-1094
Country : US
Telephone Number : 925-949-8911
Fax Number : 925-949-8322
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/18/2006
Last Update Date : 05/20/2020

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Directions to “ GEORGE BALOYRA D.C.” Practice Location

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