Balwin Clinic Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BALWIN CLINIC INC

Practice address

4508 W Imperial Hwy # B
Inglewood, CA 90304-2710

Phone

(213) 718-1473

NPI assigned

Oct 18, 2016

Last updated

Oct 18, 2016By 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

Jacob EdemNPI 1255964532

Title

Administrator

Phone

(213) 718-1473

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jacob Joseph Edem

  • Family Medicine Physician
  • Los Angeles, CA
  • NPI 1255964532
  Authorized official Same address or phone

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

{
    "created_epoch": "1476748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476748800000",
    "number": "1669923454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 WILSHIRE BLVD",
            "address_2": "SUITE 422",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900102901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4508 W IMPERIAL HWY # B",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903042710",
            "telephone_number": "213-718-1473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALWIN CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-18",
        "last_updated": "2016-10-18",
        "status": "A",
        "authorized_official_last_name": "EDEM",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "213-718-1473"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Baghdasaryan
• Tanawaja Bailey, OTR/L
• Seher Y. Bajwa
• Aprill Marie Baker, LMFT
• Janis Baker, MFT
• Bambi L Nickelberry MD Professional Corporation
• Bandary & Barooty DDS, a Professional Dental Corporation (Crown Dental & Orthodontics)
• Michelle C Banks, MD
• Nichole Morel Banks
• Lisette E Banuelos, MFTI

• Family Medicine Physician in Inglewood, CA
• Providers in Inglewood, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2016; 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.