Czarina Al Baloy, DDS, MHPE

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

103471 Issued in CA

Practice address

1039 W Florence Ave
Los Angeles, CA 90044

Phone

(323) 776-1500

NPI assigned

Oct 16, 2018

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1539648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547251200000",
    "number": "1093281156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20191 CAPE CORAL LN APT 301",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926468516",
            "telephone_number": "714-914-0689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1039 W FLORENCE AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90044",
            "telephone_number": "323-776-1500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20191 Cape Coral Ln Apt 301",
            "address_purpose": "LOCATION",
            "city": "Huntington Beach",
            "state": "CA",
            "postal_code": "926468516",
            "country_code": "US",
            "telephone_number": "714-914-0689",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALOY",
        "first_name": "CZARINA",
        "middle_name": "AL",
        "name_prefix": "Dr.",
        "credential": "DDS, MHPE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-16",
        "last_updated": "2019-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401416312",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "103471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Balmet, MTH
• Bill Balntas
• Kirsten Ann Balogh, NP
• Kehinde Idris Balogun, LVN
• Robert William Baloh, MD
• Jeffrey L Balsam, BA, PHARMD, RPH
• Serge Baltayan, DDS, MD, MS
• Miriam Baltazar Ruezga
• Carmen Baltazar
• Juan Jose Baltazar

• General Practice Dentistry in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.