Balance Within - an Integrative Acupuncture Corp.

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

AC14696 Issued in CA

Legal business name

BALANCE WITHIN - AN INTEGRATIVE ACUPUNCTURE CORP.

Practice address

16200 Ventura Blvd Ste 409
Encino, CA 91436-4699

Phone

(818) 478-9401

Fax

(818) 478-9411

NPI assigned

Jul 29, 2015

Last updated

Jul 29, 2015By 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

Mr. Alexander Ezzati, L.AC

Title

Owner

Phone

(818) 478-9401

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1438128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438128000000",
    "number": "1811372055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16200 VENTURA BLVD STE 409",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914364699",
            "telephone_number": "818-478-9401",
            "fax_number": "818-478-9411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16200 VENTURA BLVD STE 409",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914364699",
            "telephone_number": "818-478-9401",
            "fax_number": "818-478-9411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCE WITHIN - AN INTEGRATIVE ACUPUNCTURE CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-29",
        "last_updated": "2015-07-29",
        "status": "A",
        "authorized_official_last_name": "EZZATI",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-478-9401",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.AC"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "CA",
            "license": "AC14696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ron Jonathan Bahar, MD
• Nahal Bahrampour, PHARMD.
• Katharine Bainbridge, MFT
• Paige Bakman, LMFT
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• Maira Balbuena
• Jeffrey B Ballen, D.M.D
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• Shiva Bamshad, OTR/L

• Point of Service in Encino, CA
• Providers in Encino, CA by specialty
• Point of Service in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2015; 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.