Physician Compare National (NPI:1043354533)

HEALTHCARE PROVIDER: ROBIN DUNYASHA BALCHEN LCSW

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1043354533
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8921439068
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20200505003104
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BALCHEN
	Individual professional last name
Provider First Name	ROBIN
	Individual professional first name
Provider Middle Name	DUNYASHA
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2001
	Individual professional's medical school graduation year
Primary Specialty	CLINICAL SOCIAL WORKER
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1211 MARICOPA HWY
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 265
	Group Practice or individual's line 2 address
City	OJAI
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	930233161
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y