Mary Jacaquelyn Coloma Balba, MPT - Physical Therapist in Fullerton, CA

Mary Jacaquelyn Coloma Balba, MPT is a Physical Therapist based in Fullerton, California. Mary Jacaquelyn Coloma Balba is licensed to practice in California (license number 32162) and her current practice location is 101 E Valencia Mesa Dr, Fullerton, California. She can be reached at her office (for appointments etc.) via phone at (714) 992-3000.

NPI number for Mary Jacaquelyn Coloma Balba is 1891559696 and her current mailing address is 101 E Valencia Mesa Dr, Fullerton, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1891559696.

Contact Information

Mary Jacaquelyn Coloma Balba, MPT
101 E Valencia Mesa Dr,
Fullerton, CA 92835-3809
(714) 992-3000
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMary Jacaquelyn Coloma Balba
GenderFemale
SpecialityPhysical Therapist
Location101 E Valencia Mesa Dr, Fullerton, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1891559696
  • Provider Enumeration Date: 02/12/2024
  • Last Update Date: 02/12/2024

Medical Identifiers

Medical identifiers for Mary Jacaquelyn Coloma Balba such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1891559696NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 32162 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mary Jacaquelyn Coloma Balba is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mary Jacaquelyn Coloma Balba, MPT
101 E Valencia Mesa Dr,
Fullerton, CA 92835-3809

Ph: (714) 992-3000
Mary Jacaquelyn Coloma Balba, MPT
101 E Valencia Mesa Dr,
Fullerton, CA 92835-3809

Ph: (714) 992-3000

Reviews and Comments


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