Pagsolingan, Juan Roderick Balza

Pagsolingan, Juan Roderick Balza is an individual health care provider with primary practice located at 210 Canal St , King City CA 93930-3432. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Pagsolingan, Juan Roderick Balza can be contacted via phone (831) 385-5471.

Contact Information

Primary practice address
210 Canal St King City CA 93930-3432
Phone: (831) 385-5471
Fax: (831) 385-5940
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X E4169 California
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X E4169 California

Profile Details

NPI number 1063498749
LBN Legal business name Pagsolingan, Juan Roderick Balza
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2005
Last updated Nov 9th, 2015 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1063498749 NPPES
California MEDICAID 00E416900

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