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NPI Code Detail

MEDICARE: HARRY BALIAN M.D.

MEDICARE:   HARRY  BALIAN  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
1207RC0000XCardiovascular Disease PhysicianA066799CA
2207RI0011XInterventional Cardiology PhysicianMD2025-1225NM

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 : 1427150952
Entity Type Code : Individual
Provider Name (Legal Business Name) : HARRY BALIAN M.D.
Provider Business Mailing Address
First Line : 2170 GARFIAS DR
Second Line :
City : PASADENA
State : CA
Zip : 91104-1813
Country : US
Telephone Number : 562-212-7947
Fax Number : 818-243-9605
Provider Business Practice Location Address
First Line : 660 W BROADWAY
Second Line :
City : GLENDALE
State : CA
Zip : 91204-1008
Country : US
Telephone Number : 818-243-9600
Fax Number : 818-243-9605
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/04/2006
Last Update Date : 02/09/2026

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