Individual
ANDREW BANH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T., D.P.T.
Contact information
Practice address
4510 VIEWRIDGE AVE, SAN DIEGO, CA 92123-1637
(858) 502-1350
Mailing address
4842 LINDSTROM AVE, IRVINE, CA 92604-2445
(949) 394-5586
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
39961
CA
Other
Enumeration date
10/02/2012
Last updated
12/06/2021
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