Provider Demographics
NPI:1780336727
Name:BANZON, JOSE PAULO LUIGI AZARRAGA (MD)
Entity type:Individual
Prefix:DR
First Name:JOSE PAULO LUIGI
Middle Name:AZARRAGA
Last Name:BANZON
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:936 BURTON ST
Mailing Address - Street 2:
Mailing Address - City:HEMET
Mailing Address - State:CA
Mailing Address - Zip Code:92545-4782
Mailing Address - Country:US
Mailing Address - Phone:619-894-1300
Mailing Address - Fax:951-301-4309
Practice Address - Street 1:HOPE MEDICAL ARTS PLAZA 29798 ROAD
Practice Address - Street 2:SUITE #106
Practice Address - City:MENIFEE
Practice Address - State:CA
Practice Address - Zip Code:92586
Practice Address - Country:US
Practice Address - Phone:951-301-3588
Practice Address - Fax:951-301-4309
Is Sole Proprietor?:No
Enumeration Date:2022-01-20
Last Update Date:2025-08-06
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Provider Licenses
StateLicense IDTaxonomies
CAA194910207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine