Individual
AMIT BANERJEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9436 SLAUSON AVE, PICO RIVERA, CA 90660-4748
(888) 849-9303
Mailing address
9436 SLAUSON AVE, PICO RIVERA, CA 90660-4748
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A165446
CA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/21/2017
Last updated
07/13/2020
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