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ERNESTO B. BANAAG M.D. INC. NPI 1417010380


NPI Information

NPI: 1417010380
Provider Name: ERNESTO B. BANAAG, M.D., INC.
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
4034 VERDUGO RD
LOS ANGELES, CA
ZIP 90065
Phone: (323) 254-1987
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ERNESTO B. BANAAG, M.D., INC. is a family medicine in Los Angeles, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. ERNESTO B. BANAAG, M.D., INC. NPI is 1417010380. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4034 VERDUGO RD
LOS ANGELES, CA
ZIP 90065-727
Phone: (323) 254-1987
Fax: (323) 254-3674

The provider's authorized official is Ernesto Belmonte Banaag .
The authorized official title is President and has the following contact phone number (323) 254-1987.

The enumeration date for this NPI number is 12/19/2006 and was last updated on 11/13/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineA36730CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1A36730MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
200A367300MEDICAIDCALIFORNIA
3W20256OTHERCALIFORNIAMEDICARE GROUP ID
4A28165MEDICARE UPINCALIFORNIA
5WA36730AOTHERCALIFORNIAMEDICARE PPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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