Individual
BAO BANH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7284 FULTON ST, SAN DIEGO, CA 92111-6138
(877) 205-6269
(877) 214-4220
Mailing address
7284 FULTON ST, SAN DIEGO, CA 92111-6138
(877) 205-6269
(877) 214-4220
Taxonomy
Speciality
Code
Description
License number
State
101200000X
Drama Therapist
Primary
—
—
Other
Enumeration date
10/01/2025
Last updated
10/24/2025
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