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Veronica Morales Banta M.d., Inc.
Clinic/Center in Los Angeles, California
NPI 1851605992

Veronica Morales Banta M.d., Inc. is a Clinic/Center based in Los Angeles, CA. Veronica Morales Banta M.d., Inc. practices in Los Angeles, CA. The NPI Number for Veronica Morales Banta M.d., Inc. is 1851605992 and holds a License No. A104447 (California).

The current practice location address for Veronica Morales Banta M.d., Inc. is 875 N Western Ave, Los Angeles, CA and can be reached out via phone at 323-461-0777 and via fax at 323-461-8035.

Location: 875 N Western Ave, Los Angeles, CA, 90029-3759
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1851605992
Provider Name
Veronica Morales Banta M.d., Inc.
Credential
Provider Entity Type
Organization
Address
875 N Western Ave, Los Angeles, CA, 90029-3759
Phone Number
323-461-0777
Fax Number
323-461-8035
Provider Enumeration Date
07/30/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
875 N Western Ave
City
Los Angeles
State
California
Zip
90029-3759
Phone Number
323-461-0777
Fax Number
323-461-8035
person
Provider Business Mailing Address Details
Address
875 N Western Ave
City
Los Angeles
State
California
Zip
90029-3759
Phone Number
323-461-0777
Fax Number
323-461-8035
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
A104447 (California)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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