Balboa Palms

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

BALBOA PALMS

Practice address

2700 Newport Blvd Ste 164
Newport Beach, CA 92663-3735

Phone

(323) 772-6785

NPI assigned

Oct 17, 2019

Last updated

Oct 17, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joe Munguia

Title

Member

Phone

(323) 772-6785

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1571270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571270400000",
    "number": "1326681776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 NEWPORT BLVD STE 164",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633735",
            "telephone_number": "323-772-6785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 NEWPORT BLVD STE 164",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633735",
            "telephone_number": "323-772-6785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALBOA PALMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-17",
        "last_updated": "2019-10-17",
        "status": "A",
        "authorized_official_last_name": "MUNGUIA",
        "authorized_official_first_name": "JOE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "323-772-6785"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Diane Baker, PHD
• Jason Karl Baker, PHD
• Mariah Baker, MASSAGE THERAPIST
• Balanced Skin Dermatology and Aesthetics PC
• Balboa Horizons Recovery Services LP
• Balboa Recovery (Oceans Sober Living)
• Balboa Recovery
• Balboa Recovery
• Drew Randall Balcom
• Rudolph C Baldoni, M.D.

• Multi-Specialty Clinic/Center in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Multi-Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.