Balog, Heather Petrillo

Balog, Heather Petrillo is an individual health care provider with primary practice located at 1715 E Wilshire Ave , Santa Ana CA 92705-4644. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Balog, Heather Petrillo can be contacted via phone (714) 245-6769.

Contact Information

Primary practice address
1715 E Wilshire Ave Santa Ana CA 92705-4644
Phone: (714) 245-6769
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X 4105 California

Profile Details

NPI number 1427634351
LBN Legal business name Balog, Heather Petrillo
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2021
Last updated Mar 22nd, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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