Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dante A. Banta, MD, Inc

Organization Primary Care Clinic/Center · NPI 1215100417

Dante A. Banta, MD, Inc is a Primary Care Clinic/Center in Los Angeles, California. Licensed in California. Registered with an NPI since 2008.

Licensed in
CA
In the registry since
2008
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

875 N Western Ave
Los Angeles, CA 90029-3759
Phone: (323) 461-0777
Fax: (323) 461-8035
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X · Licence A44079 (CA)

Record details

NPI number1215100417
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dante Banta — President · (323) 461-0777
Other names Clinica Western
NPI enumeratedApril 8, 2008
Last updated in NPPESAugust 2, 2011
Mailing address875 N Western Ave, Los Angeles, CA 90029-3759

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