Individual
JASON BRIAN BANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1200 N STATE ST, CLINIC TOWER 1E400, LOS ANGELES, CA 90033-1029
(323) 409-7400
Mailing address
1200 N STATE ST, CLINIC TOWER 1E400, LOS ANGELES, CA 90033-1029
(323) 409-7400
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036-144176
IL
207L00000X
Anesthesiology Physician
A103344
CA
Other
Enumeration date
07/02/2010
Last updated
04/21/2021
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