JUSTIN LEE BANAGA
Individual Provider (NPI-1)
Active
Radiology, Diagnostic Radiology
Provider Information
- NPI Number
1306208590- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1001 POTRERO AVENUE BLDG. 5 , 1ST FL, SAN FRANCISCO, CA, 94110
- Phone
- (628) 206-8020
Specialties & Taxonomies
Student in an Organized Health Care Education/Training Program
Radiology, Diagnostic Radiology
Primary License: CA #A152793
All Addresses
MAILING
751 S BASCOM AVE
SAN JOSE, CA, 951282604