OrganizationActive
Balboa Surgical Associates Inc.
NPI 1205599149 · Vascular Surgery Physician · Fullerton, CA
Provider details
- NPI number
- 1205599149
- Entity type
- Organization
- Primary specialty
- Vascular Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Diana Hart, Billing Manager(949) 872-5192
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Cardiovascular Disease Physician207RC0000X
Allopathic & Osteopathic Physicians
Practice location
2501 E Chapman Ave Ste 220
Fullerton, CA 92831-3108
Phone: (949) 872-5192
Approximate (ZIP-level) locationGet directions
Mailing address
129 Lessay
Newport Coast, CA 92657-1043
Registry dates
- Enumerated
- 2021-10-18
- Last updated
- 2021-10-18
- Certified
- 2021-10-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.