Nemesio G. Balcena, LPT

Individual provider Active NPI Case Manager/Care Coordinator · Lompoc, CA

NPI 1891868782 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1891868782
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
License
L15999 (CA)
Practice address
401 E Cypress Ave
Lompoc, CA 93436-6806
Phone
(805) 737-7715
Fax
(805) 737-7726
NPI assigned
Nov 16, 2006
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
L15999CAMDCase Manager/Care Coordinator

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X L15999 CA Yes

Addresses

Primary practice location

401 E Cypress Ave
Lompoc, CA 93436-6806

Mailing address

401 E Cypress Ave
Lompoc, CA 93436-6806
Phone (805) 737-7715

Other providers in Lompoc, CA

All providers in Lompoc, CA · Case Manager/Care Coordinator in California

Sources for this page

Verify at the official NPI Registry.