Michael Ballentine (NPI# 1245519313, PAC ID# 8628222650) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1245519313 |
| PAC ID by PECOS | 8628222650 |
| Professional Enrollment ID | I20180627001982 |
| Full Name | Michael Ballentine |
| Address |
6711 Forest Lawn Dr Suite 104 Los Angeles CA 90068-1032 |
| Gender | M |
| Graduation Year | 2011 |
| Primary Specialty | PHYSICAL THERAPY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 6711 Forest Lawn Dr, Suite 104, Los Angeles, CA 90068-1032 |
| Street Address |
6711 FOREST LAWN DR SUITE 104 |
| City | LOS ANGELES |
| State | CA |
| Zip | 90068-1032 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Darlene Eubanks | Physical Therapy | 6711 Forest Lawn Dr, Suite 104, Los Angeles, CA 90068-1032 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark Kaplan | Psychiatry | 3575 Cahuenga Blvd W, Suite 243, Los Angeles, CA 90068-1341 | |
| William T. Vicary | Psychiatry | William T Vicary J D M D A Medical Corporation | 3575 Cahuenga Blvd W, Los Angeles, CA 90068-1342 |
| Cynthia Lynn Lucas | Clinical Social Worker | 3255 Cahuenga Blvd W, Suite 208, Los Angeles, CA 90068-1777 | |
| Navid A Ardakani | Diagnostic Radiology | Virtual Radiologic Professionals of California Pa | 6325 Rodgerton Dr, Los Angeles, CA 90068-1915 |
| John K Mackey | Diagnostic Radiology | Hawthorne Radiology Associates Medical Group, Inc. | 6325 Rodgerton Dr, Los Angeles, CA 90068-1915 |
| Carol A Schwartz | Clinical Social Worker | 7221 Outpost Cove Dr, Los Angeles, CA 90068-2009 |
| City | LOS ANGELES |
| Zip Code | 90068 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | LOS ANGELES + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Michael Ballentine.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.