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Brandon Ganjineh

Student in an Organized Health Care Education/Training Program in San Francisco, CA. Individual provider (NPI-1).

NPI number1760242598
StatusActive
Last updated in NPPESMar 20, 2024

Details

NPI
1760242598
Entity type
Individual (NPI-1)
Name
Brandon Ganjineh
Sex
Male
Sole proprietor
No
Enumeration date
Mar 20, 2024
Certification date
Mar 20, 2024
Last updated
Mar 20, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program–CAYes

Practice location

2356 Sutter St # J-140
San Francisco, CA 94115-3006

Phone 415-353-3400 · Fax 415-353-9551

Mailing address

2356 Sutter St # J-140
San Francisco, CA 94115-3006

Phone 415-353-3400 · Fax 415-353-9551

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