Organization
THE LABSTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGOIR BANNA (DIRECTOR)
(818) 482-6378
Entity
Organization
Contact information
Practice address
1015 N KENILWORTH AVE UNIT B, GLENDALE, CA 91202-2822
(818) 482-6378
Mailing address
1015 N KENILWORTH AVE UNIT B, GLENDALE, CA 91202-2822
Taxonomy
Speciality
Code
Description
License number
State
261QV0200X
VA Clinic/Center
Primary
—
—
Other
Enumeration date
03/02/2026
Last updated
03/02/2026
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