Individual
ASHLEY NEGIN BANAYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8750 WILSHIRE BLVD STE 210, BEVERLY HILLS, CA 90211-2703
(310) 652-0920
(310) 360-4812
Mailing address
8750 WILSHIRE BLVD STE 210, BEVERLY HILLS, CA 90211-2703
(310) 652-0920
(310) 360-4812
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA59288
CA
Other
Enumeration date
07/09/2020
Last updated
05/22/2023
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