BALBOA THERAPY CENTER – NPI #1366547176
Clinic/Center

BALBOA THERAPY CENTER is an AHC clinic located in SAN DIEGO, CA. NPPES has assigned the NPI number 1366547176 to BALBOA THERAPY CENTER on September 14, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QR0401X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BALBOA THERAPY CENTER below.

NPI Profile for
BALBOA THERAPY CENTER

NPI Number
1366547176
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BALBOA THERAPY CENTER
Primary location
3969 4TH AVE STE 208
SAN DIEGO, CA 92103-3165
Phone: (619) 294-7300 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
SRI GOPAL
CEO
Phone: (619) 294-7300
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QR0401X
- Clinic/Center / Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Primary)		 CA

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.