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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DALE TIGLAO BALILO, RN

Active Sole Proprietor

DALE TIGLAO BALILO, RN is a Child & Adolescent Psychiatric Nurse healthcare provider located in LAKEWOOD, California. NPI 1649855404 is currently active in the NPPES registry. Verify at CMS.

Child & Adolescent Psychiatric Nurse · LAKEWOOD, CA

Registration Details

NPI Number
1649855404
Provider Type
Individual
Gender
Male
NPI Issued
Mar 13, 2021 (5.4686130629619 yrs)
Last Updated
Mar 13, 2021
License
95160322 (CA)
Sole Proprietor
Yes

Practice Information

Address
6108 BLACKTHORNE AVE
LAKEWOOD, CA, 907121118
Browse CA providers · Browse ZIP 90712
Phone
6192188681
Primary Specialty
Child & Adolescent Psychiatric Nurse
163WP0808X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.