Veronica Morales Banta M.D., Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

A104447 Issued in CA

Legal business name

VERONICA MORALES BANTA M.D., INC.

Practice address

875 N Western Ave
Los Angeles, CA 90029-3759

Phone

(323) 461-0777

Fax

(323) 461-8035

NPI assigned

Jul 30, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Veronica Morales Banta, M.D.

Title

Chief Executive Officer/President

Phone

(323) 461-0777

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1280448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281571200000",
    "number": "1851605992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 N WESTERN AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900293759",
            "telephone_number": "323-461-0777",
            "fax_number": "323-461-8035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 N WESTERN AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900293759",
            "telephone_number": "323-461-0777",
            "fax_number": "323-461-8035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERONICA MORALES BANTA M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-30",
        "last_updated": "2010-08-12",
        "status": "A",
        "authorized_official_last_name": "BANTA",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_middle_name": "MORALES",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER/PRESIDENT",
        "authorized_official_telephone_number": "323-461-0777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "A104447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol W. Vernon, LCSW
• Crystal Vernon, N/A
• Elizabeth Chebra Vernon, DPT
• Kylie Vernon
• Pete Vernon
• Ricardo Veronica, BA
• Veroxagen LLC
• Ana G. Verran, MA, OTR/L
• Francine Marie Verrett, LCSW
• Joseph Edmund Verrone, LCSW

• Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.