Biomd Balance Solutions

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A93529 Issued in CA

Legal business name

BIOMD BALANCE SOLUTIONS

Practice address

17777 Ventura Blvd
Suite #120
Encino, CA 91316-3736

Phone

(717) 994-1966

Fax

(801) 780-6316

NPI assigned

Aug 4, 2015

Last updated

Aug 4, 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

Dr. Olga Beregovskaya, MD

Title

Ceo

Phone

(717) 994-1966

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1438646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438646400000",
    "number": "1861878597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2716 TRAPPER SPRINGS AVE",
            "city": "TULARE",
            "state": "CA",
            "postal_code": "932746261",
            "telephone_number": "717-994-1966",
            "fax_number": "801-780-6316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17777 VENTURA BLVD",
            "address_2": "SUITE #120",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913163736",
            "telephone_number": "717-994-1966",
            "fax_number": "801-780-6316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIOMD BALANCE SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-04",
        "last_updated": "2015-08-04",
        "status": "A",
        "authorized_official_last_name": "BEREGOVSKAYA",
        "authorized_official_first_name": "OLGA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "717-994-1966",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A93529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• John Daniel Biroc, MFT
• Lauren Bissuett

• Internal Medicine Physician in Encino, CA
• Providers in Encino, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.