SHANA L BALLOW DO INC
Radiology at Fair Oaks Ave, Pasadena, CA

License number
California 20A10299
Category
Radiology
Type
Trauma Surgery
Owner
Name: DR. SHANA LYNN BALLOW DO
Title: PRESIDENT
Phone: (818) 640-3552
Address
Address 2
1044 S Fair Oaks Ave SUITE 101, Pasadena, CA 91105
2730 Wilshire Bvld SUITE 400, Santa Monica, CA 90403
National Provider ID: 1538417381
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Shana L. Ballow D.O., Inc

Beverly Hills, CA  -  Santa Monica, CA

Industry:
Nonclassifiable Establishments, Osteopathic Physician's Office
Registration:
Jun 18, 2012
Addresses:
9595 Wilshire Blvd, Beverly Hills, CA 90212
2730 Wilshire Blvd, Santa Monica, CA 90403
State ID:
03485460
Business type:
Articles of Incorporation
President:
Shana Lynn Ballow (President)

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