Omar Banda
Technician, Other in Anaheim, CA. Individual provider (NPI-1).
NPI number1295291318
StatusActive
Last updated in NPPESFeb 13, 2019
Details
- NPI
- 1295291318
- Entity type
- Individual (NPI-1)
- Name
- Omar Banda
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 13, 2019
- Last updated
- Feb 13, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 247200000X | Technician, Other | – | – | Yes |
Practice location
2400 E Katella Ave Ste 800Anaheim, CA 92806-5955
Phone 714-696-2862
Mailing address
2400 E Katella Ave Ste 800Anaheim, CA 92806-5955
Phone 714-696-2862
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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