Individual
ANNA BOGLARKA BANIZS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
16835 W BERNARDO DR STE 212, SAN DIEGO, CA 92127-1612
(858) 810-7280
(858) 221-5045
Mailing address
21250 HAWTHORNE BLVD STE 600, TORRANCE, CA 90503-5519
(858) 888-7700
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
A197478
CA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/16/2015
Last updated
01/13/2026
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