# MICHELLE C. BANKS, M.D. A MEDICAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487823621
- **Authorized official:** DR. MICHELLE C BANKS M.D. (OFFICER)
- **Authorized official phone:** (310) 779-3149

## Contact information

- **Practice address:** 323 N PRAIRIE AVE, SUITE 201, INGLEWOOD, CA 90301-4502
- **Practice address phone:** (310) 673-5774
- **Mailing address:** 3521 W LEGACY LN, INGLEWOOD, CA 90305-1888

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | A65827 | CA | Yes |

## Other

- **Enumeration date:** 02/21/2008
- **Last updated:** 02/21/2008