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Contact Information

DARYL BANTA, MD
10 CONGRESS ST STE 155
PASADENA, CA91105-3045
 Phone: 626-486-0181
 Fax: 626-486-0189
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
 

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for DARYL BANTA · (Male)

NPI Number 1932299450
Status Active
Credentials MD
Entity Individual
Enumeration date 10/13/2006
Last updated 06/26/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # A88722
Hospital affiliation(s)
  • HUNTINGTON MEMORIAL HOSPITAL - (Acute Care)
    100 W CALIFORNIA BLVD
    PASADENA, CA 91109
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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