Cresencia D Banzuela M.d. INC

NPI #1033134770 in Corona, California

Provider Information

NPI Number: 1033134770
Entity Type: Organization
Organization Name: Cresencia D Banzuela M.d. INC
Primary Specialty: Pediatrics
Enumeration Date: Jul 13, 2006
Last Updated: Aug 20, 2008

Practice Location

Address: 260 E ONTARIO AVE
Address 2: SUITE 204
City: Corona
State: California
ZIP Code: 92879-3506
Phone: (951) 272-6595

Authorized Official

Name: CRESENCIA BANZUELA, M.D.
Title: DIRECTOR
Phone: (951) 272-6595

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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