Veronica Morales Banta M.d., Inc.

NPI 1851605992 - Clinic/Center - 261Q00000X

NPI Details
NPI 1851605992
Enumeration Date 07/30/2010
Last Updated 08/12/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name VERONICA MORALES VERONICA
Position CHIEF EXECUTIVE OFFICER/PRESIDENT
Phone (323) 461-0777
Fax (323) 461-8035
Practice Location
875 N WESTERN AVE
LOS ANGELES CA, 90029-3759, US
Phone (323) 461-0777
Fax (323) 461-8035
Business Location
875 N WESTERN AVE
LOS ANGELES CA, 90029-3759, US
Phone (323) 461-0777
Fax (323) 461-8035
Toxanomy
Taxonomy Code 261Q00000X
License State California
License Number A104447
Remove 1851605992 NPI Number
 

According to our database, Veronica Morales Banta M.d., Inc. NPI is 1851605992, taxonomy code is 261Q00000X and license number is A104447, license state is located at California. Veronica Morales Banta M.d., Inc. physically located at 875 N Western Ave, Los Angeles CA, 90029-3759. NPI Number 1033115704 has the healthcare provider type.

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1851605992 NPI number is provided on an as is basis without warranty of any kind. 1851605992 is maintained by the National Plan & Provider Enumeration System. The contents of Veronica Morales Banta M.d., Inc. are for informational purposes only.