Individual
DANIEL BANUELOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1560 E CHEVY CHASE DR STE 430, GLENDALE, CA 91206-4140
(818) 243-1135
Mailing address
1560 E CHEVY CHASE DR STE 430, GLENDALE, CA 91206-4140
(661) 343-4265
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A200571
CA
Other
Enumeration date
03/13/2015
Last updated
03/31/2025
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