IndividualActive
Eddie Banda
NPI 1083881593 · Voluntary or Charitable Agency · Venice, CA
Provider details
- NPI number
- 1083881593
- Entity type
- Individual
- Primary specialty
- Voluntary or Charitable AgencyAgencies
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Agencies
Practice location
204 Hampton Drive
St Joseph Center
Venice, CA 90291
Phone: (310) 396-6468
Fax: (310) 392-8402
Approximate (ZIP-level) locationGet directions
Mailing address
204 Hampton Drive
Venice, CA 90291
Registry dates
- Enumerated
- 2008-05-14
- Last updated
- 2008-05-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.