Organization
WESTERN GASTROENTEROLOGY CARE ASSOCIATES INC
Active
Organization
WESTERN GASTROENTEROLOGY CARE ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALI BANAIE MD (PRESIDENT)
(619) 723-5643
Entity
Organization
Contact information
Practice address
8860 CENTER DR STE 420, LA MESA, CA 91942-7001
(619) 469-5400
(619) 464-1311
Mailing address
8860 CENTER DR STE 420, LA MESA, CA 91942-7001
(619) 469-5400
(619) 464-1311
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
A87308
CA
Other
Enumeration date
04/24/2017
Last updated
11/10/2021
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