Individual
DR. WARREN BANTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1700 E CESAR E CHAVEZ AVE, SUITE #3500, LOS ANGELES, CA 90033-2424
(323) 264-0430
(323) 264-2354
Mailing address
1700 E CESAR E CHAVEZ AVE, SUITE #3500, LOS ANGELES, CA 90033-2424
(323) 264-0430
(323) 264-2354
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
A88514
CA
Other
Enumeration date
06/08/2007
Last updated
01/06/2010
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