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1144364498
EDGAR C BANEZ,MD
VAN NUYS, CA
NPI
1144364498
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Entity Type
Organization
Authorized Contact
EDGAR CORRALES BANEZ
Owner
818-786-8601
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: CA A52430)
Enumeration Date
2007-02-19
Last Update Date
2020-08-22
Business Address
EDGAR C BANEZ,MD
17216 SATICOY ST PMB 347
VAN NUYS, CA 91406-2103
Phone number: 818-786-8601
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Mailing Address
EDGAR C BANEZ,MD
7218 VAN NUYS BLVD STE D
VAN NUYS, CA 91405-2255
Phone number: 818-786-8601
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