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Justin Lee Banaga
Diagnostic Radiology Physician in San Francisco, California
NPI 1306208590

Justin Lee Banaga is a Diagnostic Radiology Physician based in San Jose, CA and is specialized in Diagnostic Radiology. Justin Lee Banaga practices in San Francisco, CA. The NPI Number for Justin Lee Banaga is 1306208590 and holds a License No. (California).

The current practice location address for Justin Lee Banaga is 1001 Potrero Avenue, San Francisco, CA and can be reached out via phone at 628-206-8020.

Location: 1001 Potrero Avenue, San Francisco, CA, 95128-2604
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306208590
Provider Name
Justin Lee Banaga
Credential
Provider Entity Type
Individual
Gender
Male
Address
1001 Potrero Avenue, San Francisco, CA, 95128-2604
Phone Number
628-206-8020
Fax Number
Provider Enumeration Date
03/25/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1001 Potrero Avenue
City
San Francisco
State
California
Zip
94110
Phone Number
628-206-8020
Fax Number
person
Provider Business Mailing Address Details
Address
1001 Potrero Avenue
City
San Francisco
State
California
Zip
94110
Phone Number
628-206-8020
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
A152793 (California)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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