Organization
MICHELLE C. BANKS, M.D. A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELLE C BANKS M.D. (OFFICER)
(310) 779-3149
Entity
Organization
Contact information
Practice address
323 N PRAIRIE AVE, SUITE 201, INGLEWOOD, CA 90301-4502
(310) 673-5774
Mailing address
3521 W LEGACY LN, INGLEWOOD, CA 90305-1888
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A65827
CA
Other
Enumeration date
02/21/2008
Last updated
02/21/2008
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