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DR. ALPHONSO B. BENTON M.D.
>> Family Medicine >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1275519837
Individual Registrant:DR. ALPHONSO B. BENTON M.D.
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
15944 LOS SERRANOS COUNTRY CLUB DR SUITE 110 CHINO HILLS, CA 91709-3993 US
Tel: 909-606-8767 Fax: 909-597-8681
Tel: 909-606-8767 Fax: 909-597-8681
Contact information for business:
15944 LOS SERRANOS COUNTRY CLUB DR SUITE 110 CHINO HILLS, CA 91709-3993 US
Tel: 909-606-8767 Fax: 909-597-8681
Tel: 909-606-8767 Fax: 909-597-8681
Registration Information:
NPI: 1275519837
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 207Q00000X | Allopathic & Osteopathic Physicians Family Medicine | CA | A72741 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
