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General NPI Number Information
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NPI Number | 1245112127
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Entity Type | Organization
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Legal Business Name | HARRY BALIAN MD A MEDICAL CORPORATION
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Dates
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Enumeration Date | 07/22/2025
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Last Update Date | 07/22/2025
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Provider Practice Location Address
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Address Line | 317 S BRAND BLVD STE B-103
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City | GLENDALE
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State | CA
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Zip | 91204-1701
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Country | US
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Telephone | 833-773-8483
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Fax |
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Provider Business Mailing Address
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Address Line | 317 S BRAND BLVD STE B-103
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City | GLENDALE
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State | CA
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Zip | 91204-1701
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | HARRY BALIAN
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Credential | MD
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Telephone | 562-212-7947
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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