Individual
CESAR ANTONIO BANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6608 MERCY CT, SUITE A, FAIR OAKS, CA 95628-3170
(916) 289-0415
Mailing address
PO BOX 2101, CARMICHAEL, CA 95609-2101
(916) 289-0415
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A54130
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A541300
MEDI CAL
—
Enumeration date
07/02/2006
Last updated
06/28/2012
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