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NPI Code Detail

MEDICARE: SWISS BALANCE INC

MEDICARE: SWISS BALANCE INC
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
1335E00000XProsthetic/Orthotic Supplier

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1ZZZ07389ZOTHERCABLUE SHIELD
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
30160010001OTHERCAPACIFICARE

General Provider Information

NPI Number : 1497748818
Entity Type Code : Organization
Provider Name (Legal Business Name) : SWISS BALANCE INC
Provider Business Mailing Address
First Line : 1260 15TH ST
Second Line : STE 1402
City : SANTA MONICA
State : CA
Zip : 90404-1135
Country : US
Telephone Number : 310-458-9648
Fax Number : 310-451-2002
Provider Business Practice Location Address
First Line : 1260 15TH ST
Second Line : STE 1402
City : SANTA MONICA
State : CA
Zip : 90404-1135
Country : US
Telephone Number : 310-458-9648
Fax Number : 310-451-2002
Authorized Official
Title or Position : CEO
Name : MR. STEFAN MOSER
Credential : C.PED
Telephone Number : 310-458-9648
Provider Enumeration Date : 08/31/2005
Last Update Date : 04/13/2012

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Directions to “SWISS BALANCE INC ” Practice Location

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