Balu, Vidyamohan

Balu, Vidyamohan is an individual health care provider with primary practice located at 341 E Main St Ste 100 , San Jacinto CA 92583-4206. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Balu, Vidyamohan can be contacted via phone (951) 654-9367.

Contact Information

Primary practice address
341 E Main St Ste 100 San Jacinto CA 92583-4206
Phone: (951) 654-9367
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A152595 California

Profile Details

NPI number 1265815880
LBN Legal business name Balu, Vidyamohan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2015
Last updated Nov 13th, 2018 - about 8 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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