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Organization
M.L. BANIGO, M.D., INC.
Active
Organization
M.L. BANIGO, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAY LOLO BANIGO M.D. (PRESIDENT)
(310) 971-5553
Entity
Organization
Contact information
Practice address
2532 VIA OLIVERA, PALOS VERDES ESTATES, CA 90274-2808
(310) 971-5553
(310) 377-2498
Mailing address
2532 VIA OLIVERA, PALOS VERDES ESTATES, CA 90274-2808
(310) 971-5553
(310) 377-2498
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A66185
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A661850
—
CA
Enumeration date
08/23/2006
Last updated
01/13/2012
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