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NPI Code Detail

MEDICARE: DR. MAY LOLO BANIGO M.D.

MEDICARE: DR. MAY LOLO BANIGO M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology PhysicianA66185CA
2207L00000XAnesthesiology Physician35457NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1275510422
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MAY LOLO BANIGO M.D.
Provider Business Mailing Address
First Line : 225 S LAKE AVE
Second Line :
City : PASADENA
State : CA
Zip : 91101-3005
Country : US
Telephone Number : 626-204-6734
Fax Number : 626-396-0851
Provider Business Practice Location Address
First Line : 1050 LINDEN AVE
Second Line :
City : LONG BEACH
State : CA
Zip : 90813-3321
Country : US
Telephone Number : 310-971-5553
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/29/2005
Last Update Date : 07/02/2008

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