Individual provider · Type 1 NPI

Madison Ryan Balachio, PA

Medical Physician Assistant · Beverly Hills, CA

NPI number 1194583856 Active

Practice location

414 N Camden Dr Ste 1100
Beverly Hills, CA 90210-4576

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XNone listed
Medical Physician Assistant Primary 363AM0700XPA65323 (CA)

Medical Physician Assistant: Definition to come...

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About NPI 1194583856

Madison Ryan Balachio, PA's National Provider Identifier is 1194583856, issued on Mar 7, 2024. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Beverly Hills, CA. The record was last updated on Oct 29, 2024.