Derek Anthony Banyard
ActiveCalifornia license A124088
License
- Licensed by
- Medical Board of California
- License number
- A124088
- Status
- Active (Current)
- First issued
- January 4, 2013
- Expires
- December 31, 2026
- License holder
- Derek Anthony Banyard
- Entity type
- Individual
Classifications
- Physician and Surgeon A Physicians & Surgeons
More from the license record
- License type code
- 8002
Contact
12021 Wilshire Blvd # 745
Los Angeles, CA 90025-1206
Los Angeles, CA 90025-1206
Los Angeles County