Provider Demographics
NPI:1174802177
Name:BALEHR MEDICAL DEVICES INC.
Entity type:Organization
Organization Name:BALEHR MEDICAL DEVICES INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:BJ
Authorized Official - Middle Name:
Authorized Official - Last Name:RETUYA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-792-3757
Mailing Address - Street 1:9230 REAGAN RD
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92126-2109
Mailing Address - Country:US
Mailing Address - Phone:619-792-3757
Mailing Address - Fax:800-801-7062
Practice Address - Street 1:9230 REAGAN RD
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92126-2109
Practice Address - Country:US
Practice Address - Phone:619-792-3757
Practice Address - Fax:800-801-7062
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-08
Last Update Date:2013-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies