Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0106X | Orthopaedic Hand Surgeon | G27276 | CA |
NPI | 1053314716 |
---|---|
Provider Name | Dr. George W Balfour |
First Address | Van Nuys, CA 91405-2288 |
Second Address | Van Nuys, CA 91405-2288 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2005 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A89447 | (02) | CA |