Individual
ULYSSES VILLAMIL BANIGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14427 CHASE ST, PANORAMA CITY, CA 91402-3020
(818) 830-7751
(818) 891-7892
Mailing address
14427 CHASE ST, PANORAMA CITY, CA 91402-3020
(818) 830-7751
(818) 891-7892
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A98183
CA
Other
Enumeration date
04/11/2007
Last updated
07/08/2007
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