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DR. LILY C BALETTE M.D NPI 1902960388


NPI Information

NPI: 1902960388
Provider Name: DR. LILY C BALETTE, M.D
Classification: Pediatrics - 2080N0001X
Entity Type: Individual

Specialization: Neonatal-Perinatal Medicine

CLIA Number: 05D1065039

Address:
1141 W REDONDO BEACH BLVD
SUITE #202
GARDENA, CA
ZIP 90247
Phone: (310) 327-0245
Get Directions

DR. Lily C Balette, M.D is a neonatal-perinatal medicine pediatrics in Gardena, CA. The provider is a pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. DR. Lily C Balette, M.D NPI is 1902960388. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1141 W REDONDO BEACH BLVD
SUITE #202
GARDENA, CA
ZIP 90247
Phone: (310) 327-0245
Fax: (310) 327-0116

The CLIA number assigned to this NPI record is 05D1065039 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/20/2006 and was last updated on 5/29/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080N0001XPediatricsNeonatal-Perinatal MedicineA76470CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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