Nicolette Lee Ballou
MD | Pediatrics | Female
Nicolette Lee Ballou, MD is a Beverly Hills, California based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Nicolette Lee Ballou is
8920 Wilshire Blvd, Ste 604, Beverly Hills, California - 90211. She can be contacted on phone at
310-659-7867 and fax number 310-659-0804.
Nicolette Lee Ballou is a sole proprietor of her business.
NPI number (Unique professional ID) for Nicolette Lee Ballou is
1457420077 which was assigned by NPPES on 07 Nov, 2006 and it was last updated on 08 Jul, 2007.
Nicolette Lee Ballou license number is
G53313 for Pediatrics (208000000X) in California.
Nicolette Lee Ballou is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Nicolette Lee Ballou basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Nicolette Lee Ballou |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Nicolette Lee Ballou address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 8920 Wilshire Blvd, Ste 604
Beverly Hills, CA, 90211
United States |
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| Phone Number : | 310-659-7867 |
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| Fax Number : | 310-659-0804 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1457420077 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 07 Nov, 2006 |
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| Last Updated On : | 08 Jul, 2007 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Nicolette Lee Ballou are as mentioned. Primary taxonomy code for Nicolette Lee Ballou, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | G53313 | CA |
Legacy Identifiers:
Other legacy medical identifiers of Nicolette Lee Ballou such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 00G53313 | MEDICAID | CA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 8920 Wilshire Blvd, Ste 604
Beverly Hills, CA, 90211
United States |
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| Phone Number : | 310-659-7867 |
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| Fax Number : | 310-659-0804 |
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Business Location:
Patients can refer following map for directions to
Nicolette Lee Ballou practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.