Individual
DR. MICHELLE C BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
323 N PRAIRIE AVE, SUITE #201, INGLEWOOD, CA 90301-4502
(310) 673-5774
(310) 673-9729
Mailing address
323 N PRAIRIE AVE, SUITE #201, INGLEWOOD, CA 90301-4502
(310) 673-5774
(310) 673-9729
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A65827
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A658270
MEDI CAL
CA
Enumeration date
07/27/2006
Last updated
04/15/2008
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