Healthcare Provider Details

I. General information

NPI: 1386606465
Provider Name (Legal Business Name): BALBIR NATT M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/04/2006
Last Update Date: 08/08/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7675 STERLING AVE SUITE C-D
SAN BERNARDINO CA
92410-4738
US

IV. Provider business mailing address

742 W HIGHLAND AVE
SAN BERNARDINO CA
92405-3839
US

V. Phone/Fax

Practice location:
  • Phone: 909-881-7320
  • Fax: 909-881-7329
Mailing address:
  • Phone: 909-376-4438
  • Fax: 909-881-7329

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberA46022
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: