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Warren Banta Md, A Medical Corporation
Clinic/Center in Los Angeles, California
NPI 1992930994

Warren Banta Md, A Medical Corporation is a Clinic/Center based in Los Angeles, CA. Warren Banta Md, A Medical Corporation practices in Los Angeles, CA. The NPI Number for Warren Banta Md, A Medical Corporation is 1992930994 and holds a License No. A88514 (California).

The current practice location address for Warren Banta Md, A Medical Corporation is 875 N Western Ave, Los Angeles, CA and can be reached out via phone at 323-461-0777.

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
1992930994
Provider Name
Warren Banta Md, A Medical Corporation
Credential
Provider Entity Type
Organization
Address
875 N Western Ave, Los Angeles, CA, 90029-3759
Phone Number
323-461-0777
Fax Number
Provider Enumeration Date
05/19/2009
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
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
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
A88514 (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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