Provider Demographics
NPI:1144797937
Name:A FINE BALANCE
Entity Type:Organization
Organization Name:A FINE BALANCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JORINA
Authorized Official - Middle Name:
Authorized Official - Last Name:ELBERS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:650-353-0614
Mailing Address - Street 1:590 SKYPARK DR
Mailing Address - Street 2:
Mailing Address - City:SCOTTS VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:95066-4067
Mailing Address - Country:US
Mailing Address - Phone:650-353-0614
Mailing Address - Fax:
Practice Address - Street 1:4200 SCOTTS VALLEY DR STE E
Practice Address - Street 2:
Practice Address - City:SCOTTS VALLEY
Practice Address - State:CA
Practice Address - Zip Code:95066-4539
Practice Address - Country:US
Practice Address - Phone:650-353-0614
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-30
Last Update Date:2018-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0402XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology with Special Qualifications in Child NeurologyGroup - Single Specialty