BALBOA THERAPY CENTER NPI 1366547176

NPI Information

  • NPI: 1366547176
  • Provider Name: BALBOA THERAPY CENTER
  • Classification: Clinic/Center - 261QR0401X
  • Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Entity Type: Organization
  • Address: 3969 4TH AVE STE 208
    SAN DIEGO, CA
    ZIP 92103
  • Phone: (619) 294-7300

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NPI Details

BALBOA THERAPY CENTER is a rehabilitation and comprehensive outpatient rehabilitation facility (corf) clinic center in San Diego, CA. BALBOA THERAPY CENTER NPI is 1366547176. The provider is registered as an organization entity type.

The provider's business location address is:

3969 4TH AVE STE 208
SAN DIEGO, CA
ZIP 92103-165
Phone: (619) 294-7300

The provider's authorized official is Sri Gopal .
The authorized official title is Ceo and has the following contact phone number (619) 294-7300.

The enumeration date for this NPI number is 9/14/2006 and was last updated on 8/22/2020.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR0401XClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)CALIFORNIAYes

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: 11/21/2025

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