Ernesto B. Banaag, M.d., Inc. | |
4034 Verdugo Rd Los Angeles CA 90065-3727 | |
(323) 254-1987 | |
(323) 254-3674 |
Full Name | Ernesto B. Banaag, M.d., Inc. |
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Speciality | Family Medicine |
Location | 4034 Verdugo Rd, Los Angeles, California |
Authorized Official Name and Position | Ernesto Belmonte Banaag (PRESIDENT) |
Authorized Official Contact | 3232541987 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Ernesto B. Banaag, M.d., Inc. 4034 Verdugo Rd Los Angeles CA 90065-3727 Ph: (323) 254-1987 | Ernesto B. Banaag, M.d., Inc. 4034 Verdugo Rd Los Angeles CA 90065-3727 Ph: (323) 254-1987 |
NPI Number | 1417010380 |
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Provider Enumeration Date | 12/19/2006 |
Last Update Date | 11/13/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417010380 | NPI | - | NPPES |
W20256 | Other | CA | MEDICARE GROUP ID |
WA36730A | Other | CA | MEDICARE PPIN |
00A367300 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | A36730 (California) | Primary |
Joseph I Kang Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3755 Beverly Blvd, Ste 301, Los Angeles, CA 90004 Phone: 323-664-7777 | |
John L Sherman Md Amc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8635 W 3rd St Ste 485w, Los Angeles, CA 90048 Phone: 310-855-8081 Fax: 310-855-0438 | |
Altamed Health Services Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5425 Pomona Blvd, Los Angeles, CA 90022 Phone: 323-832-7527 Fax: 323-832-7599 | |