Provider Demographics
NPI:1003887027
Name:BALCH, STEVEN A (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:A
Last Name:BALCH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3860 CALLE FORTUNADA
Mailing Address - Street 2:#200
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92123
Mailing Address - Country:US
Mailing Address - Phone:858-636-4300
Mailing Address - Fax:858-636-4319
Practice Address - Street 1:285 N EL CAMINO REAL
Practice Address - Street 2:#114
Practice Address - City:ENCINITAS
Practice Address - State:CA
Practice Address - Zip Code:92024
Practice Address - Country:US
Practice Address - Phone:760-436-4511
Practice Address - Fax:760-436-5106
Is Sole Proprietor?:No
Enumeration Date:2006-01-28
Last Update Date:2011-02-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAC28932208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAC28932OtherMD LICENSE
A33787Medicare UPIN