Individual
SERGUEI IVANOVICH BANNYKH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8700 BEVERLY BLVD, SUITE 8730, LOS ANGELES, CA 90048
(310) 423-3562
(310) 423-0122
Mailing address
8700 BEVERLY BLVD, SUITE 8730, LOS ANGELES, CA 90048
(310) 423-3562
(310) 423-0122
Taxonomy
Speciality
Code
Description
License number
State
207ZN0500X
Neuropathology Physician
040897
CT
207ZP0101X
Anatomic Pathology Physician
040897
CT
207ZP0101X
Anatomic Pathology Physician
Primary
A72353
CA
Other
Enumeration date
11/14/2005
Last updated
09/11/2025
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