Jody Lynn Balloch, MD
Family Medicine in Camarillo, CA. Individual provider (NPI-1).
NPI number1316929615
StatusActive
Last updated in NPPESOct 1, 2014
Details
- NPI
- 1316929615
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Jody Lynn Balloch
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 14, 2005
- Last updated
- Oct 1, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | G77362 | CA | Yes |
| 207Q00000X | Family Medicine | GO77362 | CA |
Practice location
5051 Verdugo WaySuite 110
Camarillo, CA 93012
Phone 805-384-8071 · Fax 805-987-1927
Mailing address
3400 Data DriveRancho Cordova, CA 95670
Phone 916-379-2915 · Fax 916-853-7794
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