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NPI Code Detail

MEDICARE: PAVEL PETRU BALINT

MEDICARE:   PAVEL PETRU BALINT
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
1320600000XIntellectual and/or Developmental Disabilities Residential Treatment Facility312700212CA

General Provider Information

NPI Number : 1144157363
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAVEL PETRU BALINT
Provider Business Mailing Address
First Line : 6408 MENDEZ CREEK CT
Second Line :
City : ROCKLIN
State : CA
Zip : 95765-4238
Country : US
Telephone Number : 916-203-1765
Fax Number : 916-203-1765
Provider Business Practice Location Address
First Line : 6408 MENDEZ CREEK CT
Second Line :
City : ROCKLIN
State : CA
Zip : 95765-4238
Country : US
Telephone Number : 916-203-1765
Fax Number : 916-203-1765
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2026
Last Update Date : 05/04/2026

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Directions to “ PAVEL PETRU BALINT ” Practice Location

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