| Organization Name: | BALANCED HEALTH INC |
| NPI Number: | 1003891227 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DARRIN EUGENE MADOLE (OWNER PHYSICAL THERAPIST) |
| Mailing Address: | 1820 E 16th St Santa Ana |
| State: | CA US |
| Postal Code: | 927013112 |
| Phone Number: | 7148552223 |
| Fax Number: | 7148352224 |
| NPI Enumeration Date: | 12/09/2005 |
| NPI Last Update Date: | 06/12/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | PT19635 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |