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NPI Code Detail

MEDICARE: GARO BALKIAN I M.D.

MEDICARE:   GARO  BALKIAN I M.D.
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
1207P00000XEmergency Medicine PhysicianA63683CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1326154063
Entity Type Code : Individual
Provider Name (Legal Business Name) : GARO BALKIAN I M.D.
Provider Business Mailing Address
First Line : 2191 RUSTICPARK CT
Second Line :
City : THOUSAND OAKS
State : CA
Zip : 91362-1737
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5601 DESOTO AVENUE
Second Line :
City : WOODLAND HILLS
State : CA
Zip : 91365
Country : US
Telephone Number : 818-719-3600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2006
Last Update Date : 12/03/2021

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Directions to “ GARO BALKIAN I M.D.” Practice Location

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