Healthcare Provider Details

I. General information

NPI: 1568366136
Provider Name (Legal Business Name): JASTINE RACHELLE DE JESUS BALILING
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JASTINE BALILING AUD

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5855 SILVER CREEK VALLEY RD
SAN JOSE CA
95138-1059
US

IV. Provider business mailing address

5560 LEXINGTON AVE APT 256
SAN JOSE CA
95123-4147
US

V. Phone/Fax

Practice location:
  • Phone: 408-574-9100
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: