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Organization
STEVEN E BANSBACH MD A MEDICAL CORPORATION
Active
Organization
STEVEN E BANSBACH MD A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. STEVEN E BANSBACH M.D. (OWNER)
(310) 471-5852
Entity
Organization
Contact information
Practice address
215 W JANSS RD, THOUSAND OAKS, CA 91360-1847
(805) 370-4521
Mailing address
PO BOX 10076, VAN NUYS, CA 91410-0076
(805) 578-8300
(805) 578-8950
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G55219
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0052480
—
CA
05
—
GR0052481
—
CA
Enumeration date
09/21/2006
Last updated
07/11/2008
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