Banchiamlak Kendrix, is a
Student In An Organized Health Care Education/training Program based in Fontana, California. Banchiamlak Kendrix is licensed to practice in * (Not Available) (license number ) and her current practice location is
13666 Lighthouse Ct, Fontana, California. She can be reached at her office (for appointments etc.) via phone at
(909) 509-2214.
NPI number for Banchiamlak Kendrix is 1790445104 and her current mailing address is 13666 Lighthouse Ct, Fontana, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1790445104.
Healthcare Provider's Profile
| Full Name | Banchiamlak Kendrix |
|---|
| Gender | Female |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 13666 Lighthouse Ct, Fontana, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1790445104
- Provider Enumeration Date: 12/27/2021
- Last Update Date: 12/27/2021
Medical Identifiers
Medical identifiers for Banchiamlak Kendrix such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1790445104 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (California) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Banchiamlak Kendrix is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Banchiamlak Kendrix,
13666 Lighthouse Ct,
Fontana, CA 92336-3403
Ph: () - | Banchiamlak Kendrix,
13666 Lighthouse Ct,
Fontana, CA 92336-3403
Ph: (909) 509-2214 |
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