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GREGORY M. BALOURDAS M.D. INC. NPI 1518206507


NPI Information

NPI: 1518206507
Provider Name: GREGORY M. BALOURDAS, M.D., INC.
Classification: Orthopaedic Surgery - 207XS0106X
Entity Type: Organization

Specialization: Hand Surgery

Address:
4101 RANDOLPH ST
SAN DIEGO, CA
ZIP 92103
Phone: (619) 291-2430
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GREGORY M. BALOURDAS, M.D., INC. is a hand surgery orthopaedic surgery in San Diego, CA. The provider is an orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. GREGORY M. BALOURDAS, M.D., INC. NPI is 1518206507. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4101 RANDOLPH ST
SAN DIEGO, CA
ZIP 92103-342
Phone: (619) 291-2430
Fax: (619) 291-4048

The provider's authorized official is Gregory M Balourdas .
The authorized official title is President and has the following contact phone number (619) 291-2430.

The enumeration date for this NPI number is 2/11/2013 and was last updated on 2/11/2013.


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
1207XS0106XOrthopaedic SurgeryHand SurgeryG51351CALIFORNIAYes

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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