Individual
ALI BANAIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8860 CENTER DRIVE, SUITE 420, LA MESA, CA 91942-3020
(619) 469-5400
(619) 464-1311
Mailing address
8860 CENTER DRIVE, SUITE 420, LA MESA, CA 91942-3020
(619) 469-5400
(619) 464-1311
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
98403
MT
207RG0100X
Gastroenterology Physician
Primary
A87308
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A873080
—
CA
Enumeration date
03/14/2006
Last updated
03/21/2023
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