Dr Michelle C Banks, MD | |
323 N Prairie Ave, Suite #201, Inglewood, CA 90301-4502 | |
(310) 673-5774 | |
(310) 673-9729 |
Full Name | Dr Michelle C Banks |
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Gender | Female |
Speciality | Ophthalmology |
Location | 323 N Prairie Ave, Inglewood, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356365654 | NPI | - | NPPES |
00A658270 | Other | CA | MEDI CAL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | A65827 (California) | Primary |
Entity Name | Los Angeles Ophthalmology Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356725816 PECOS PAC ID: 7517919814 Enrollment ID: O20050215000658 |
Entity Name | County Of Los Angeles |
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Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1780877613 PECOS PAC ID: 1850296534 Enrollment ID: O20090713000358 |
Mailing Address | Practice Location Address |
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Dr Michelle C Banks, MD 323 N Prairie Ave, Suite #201, Inglewood, CA 90301-4502 Ph: (310) 673-5774 | Dr Michelle C Banks, MD 323 N Prairie Ave, Suite #201, Inglewood, CA 90301-4502 Ph: (310) 673-5774 |
Dr. Lanita C Scott, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 323 N Prairie Ave, Suite 201, Inglewood, CA 90301 Phone: 310-673-5774 Fax: 310-673-9729 | |
Dwight Smith, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 165 N La Brea Ave, Inglewood, CA 90301 Phone: 323-678-1111 | |
James H. Peace Ii, M.D. INC Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 431 N Prairie Ave, Inglewood, CA 90301 Phone: 310-671-7172 Fax: 310-673-0682 | |
Mr. Leroy W Vaughn Sr., M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 323 N Prairie Ave Ste 217, Inglewood, CA 90301 Phone: 310-671-0909 Fax: 310-412-0066 |