Most Relevant Information
Provider Data
| NPI Number: | 1003068487 |
| Provider Name: | SHABNAM BALALI M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 2084P0800X |
| Specialty: | Psychiatry & Neurology |
| License Number: | M-11464 |
Most Important Dates
| Enumeration Date: | 10/16/2008 |
| Last Updated: | 01/13/2023 |
Provider Practice Location
11301 WILSHIRE BLVD
LOS ANGELES
CA
900731003
Practice Location Phone/Fax
| Phone: | 3104783711 |
| Fax: |
Provider Mailing Location
11301 WILSHIRE BLVD
BUILDING 206
LOS ANGELES
CA
900731003
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |
Suggested EMR
Psychiatry EMR