Graduated: 2012
NPI: 1174828099
Practice Locations (2)
BALBOA NEPHROLOGY MEDICAL GROUP INC
11100 WARNER AVE, SUITE 218
FOUNTAIN VALLEY, CA 927087511
7146419696
BALBOA NEPHROLOGY MEDICAL GROUP INC
4060 4TH AVE, SUITE 220
SAN DIEGO, CA 921032120
6192992350
Source: CMS National Downloadable File, September 2026.