Individual
DR. ANDREA BANTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
8700 BEVERLY BLVD, WEST HOLLYWOOD, CA 90048-1804
(310) 423-4100
Mailing address
4140 W 190TH ST, TORRANCE, CA 90504-5513
(310) 423-4100
(310) 967-1773
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
6734
CT
363LF0000X
Family Nurse Practitioner
Primary
95008064
CA
Other
Enumeration date
10/05/2016
Last updated
06/29/2023
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