Individual
MR. KYLE ANDREW BANH-HASENSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-1098
(619) 532-6400
Mailing address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-1098
(619) 532-6400
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MA055054
PA
363AM0700X
Medical Physician Assistant
Primary
PA57843
CA
Other
Enumeration date
02/16/2012
Last updated
09/19/2023
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