WARREN BANTA MD, A MEDICAL CORPORATION

LOS ANGELES, CA
NPI1992930994
Entity TypeOrganization
Authorized ContactWARREN BANTA
President
323-229-9471
Organization Subpart ?No
Primary Taxonomy261Q00000X Clinic/Center
(Licence: CA  A88514)
Enumeration Date2009-05-19
Last Update Date2009-05-19
Business Address
WARREN BANTA MD, A MEDICAL CORPORATION
875 N WESTERN AVE
LOS ANGELES, CA 90029-3759
Phone number: 323-461-0777
Mailing Address
WARREN BANTA MD, A MEDICAL CORPORATION
875 N WESTERN AVE
LOS ANGELES, CA 90029-3759
Phone number: 323-461-0777
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