Search › California › 103TS0200X
Heather Balog
NPI 1427634351 · on the registry since 2021
Practice
- Address
- 1715 E Wilshire Ave
Santa Ana, CA 92705 - Phone
- (714) 245-6769
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 103TS0200X
103TS0200X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-03-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California