1750574505 NPI number — DR. ARNOLD ROGER BALBER DDS

Table of content: DR. ARNOLD ROGER BALBER DDS (NPI 1750574505)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1750574505 NPI number — DR. ARNOLD ROGER BALBER DDS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BALBER
Provider First Name:
ARNOLD
Provider Middle Name:
ROGER
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
DDS
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1750574505
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/24/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6325 TOPANGA CYN BLVD
Provider Second Line Business Mailing Address:
SUITE 307
Provider Business Mailing Address City Name:
WOODLANDS HILLS
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
91367
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
818-348-1494
Provider Business Mailing Address Fax Number:
818-592-0406

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6325 TOPANGA CYN BLVD
Provider Second Line Business Practice Location Address:
SUITE 307
Provider Business Practice Location Address City Name:
WOODLANDS HILLS
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91367
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
818-348-1494
Provider Business Practice Location Address Fax Number:
818-592-0406
Provider Enumeration Date:
08/24/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 122300000X , with the licence number:  28647 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)