| Vijay Balakrishnan, MD | |
|
655 Euclid Ave Ste 304, National City, CA 91950-2974 | |
| (619) 267-8303 | |
| Not Available |
| Full Name | Vijay Balakrishnan |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Location | 655 Euclid Ave Ste 304, National City, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104311596 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | LL52671 (South Carolina) | Primary |
| 207ND0900X | Dermatology - Dermatopathology | 9971137 (Idaho) | Secondary |
| 207N00000X | Dermatology | 9971137 (Idaho) | Secondary |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
| Mailing Address | Practice Location Address |
|---|---|
| Vijay Balakrishnan, MD 510 20th St S Ste 858, Birmingham, AL 35233-2028 Ph: () - | Vijay Balakrishnan, MD 655 Euclid Ave Ste 304, National City, CA 91950-2974 Ph: (619) 267-8303 |
Dr. Justin Stanley Gordon, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 655 Euclid Ave Ste 304, National City, CA 91950 Phone: 619-267-8303 Fax: 619-267-4835 | |
Philip R Cohen, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 655 Euclid Ave Ste 401, National City, CA 91950 Phone: 619-267-8303 Fax: 619-267-4835 | |
Abhilasha Tyagi, Dermatology Medicare: Accepting Medicare Assignments Practice Location: 655 Euclid Ave Ste 304, National City, CA 91950 Phone: 619-267-8303 Fax: 619-267-4835 | |
Nathan S. Uebelhoer, D.O. Dermatology Medicare: May Accept Medicare Assignments Practice Location: 655 Euclid Ave Ste 304, National City, CA 91950 Phone: 619-267-8303 Fax: 619-267-4835 | |
Dr. Christopher S Crowley, MD, PHD Dermatology Medicare: Medicare Enrolled Practice Location: 655 Euclid Ave Ste 401, National City, CA 91950 Phone: 619-267-8303 Fax: 619-267-4835 |