HomeNPI Verification

NPI Verification

National Provider Identifier: 1114934759

Keith E. Ballinger, PA C

Individual Provider

Credentials

PA C

Primary Specialty

Physician Assistant

Code: 363A00000X

All Specialties (2)

Physician Assistant

Code: 363A00000X

Primary

Internal Medicine

Code: 207R00000X

Practice Address

1220 E 4TH ST

LONG BEACH, CA 908021831

Phone: 855-712-7837

NPI Enumeration Date

August 2, 2006

NPI Number

1114934759

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry