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Jonathan Delgado Baluran

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

100 Medical Plaza Suite 700, Los Angeles, CA 90095-2204

PECOS Enrollment

This provider is enrolled in PECOS as JONATHAN BALURAN.

Based on the most recent information from CMS, provider Jonathan Delgado Baluran is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records today at 11:47 AM.

Profile Details

Provider ID
1831608090
Provider Type
Individual
Full Name
Baluran, Jonathan Delgado
Credential
NP

Gender
Male
Sole Proprietor
No
Enumeration Date
9/20/2017
Last Updated
5/1/2024

Contact Information

Practice Location

100 Medical Plaza Suite 700, Los Angeles, CA 90095-2204

(310) 267-9099

Unlisted Fax

Mailing Location

5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363L00000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 95007318 California

Jonathan Delgado Baluran

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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Chen, Yunying

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Frias, Giovanni S