Individual
ELIZABETH BANACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3330 LOMITA BLVD, TORRANCE, CA 90505-5002
(310) 325-9110
Mailing address
3330 LOMITA BLVD, TORRANCE, CA 90505-5002
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95021291
CA
Other
Enumeration date
08/29/2022
Last updated
02/17/2025
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