JAGGEN N. BANZAL MD INC

LOS ANGELES, CA
NPI1508100371
Entity TypeOrganization
Authorized ContactJAGGEN N BANZAL
Physician
323-478-1101
Organization Subpart ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  PA22702)
Enumeration Date2012-11-19
Last Update Date2012-11-19
Business Address
JAGGEN N. BANZAL MD INC
5540 N FIGUEROA ST
LOS ANGELES, CA 90042-4120
Phone number: 323-478-1101
Mailing Address
JAGGEN N. BANZAL MD INC
1455 E BROADWAY
GLENDALE, CA 91205-1559
Phone number: 818-404-7776
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