Organization
SANJOY BANERJEE MD INC
Active
Other names
PACIFIC PAIN CARE CONSULTANTS
Organization subpart
No
Provider details
NPI number
Authorized official
SANJOY BANERJEE MD (CORPORATE OWNER)
(951) 735-7246
Entity
Organization
Contact information
Practice address
2097 COMPTON AVE, STE 102, CORONA, CA 92881-7282
(951) 735-7246
(951) 268-9516
Mailing address
2097 COMPTON AVE, STE 102, CORONA, CA 92881-7282
(951) 735-7246
(951) 268-9516
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
A90939
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
A90939
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1295773422
INDIVIDUAL NPI
—
05
—
1619287365
—
CA
Enumeration date
10/15/2010
Last updated
07/01/2014
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