Organization · Type 2 NPI

Dante A. Banta, M.d., Inc.

Primary Care Clinic/Center · Los Angeles, CA

NPI number 1215100417 Active

Practice location

875 N Western Ave
Los Angeles, CA 90029-3759

Fax (323) 461-8035

Specialties and licenses

TaxonomyCodeLicense
Primary Care Clinic/Center Primary 261QP2300XA44079 (CA)

Primary Care Clinic/Center: Definition to come...

8 other providers at this address

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About NPI 1215100417

Dante A. Banta, M.d., Inc.'s National Provider Identifier is 1215100417, issued on Apr 8, 2008. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Los Angeles, CA. The record was last updated on Aug 2, 2011.