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

Warren Banta MD, a Medical Corporation

Organization Clinic/Center · NPI 1992930994

Warren Banta MD, a Medical Corporation is a Clinic/Center in Los Angeles, California. Licensed in California. Registered with an NPI since 2009.

Licensed in
CA
In the registry since
2009

Practice location Address checks out

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

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X · Licence A88514 (CA)

Record details

NPI number1992930994
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Warren Banta — President · (323) 229-9471
NPI enumeratedMay 19, 2009
Last updated in NPPESMay 19, 2009
Mailing address875 N Western Ave, Los Angeles, CA 90029-3759

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