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EDGAR BENITEZ NP
Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1184391112
Individual Registrant: EDGAR BENITEZ NP
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
9032 SEAL BEACH DR HESPERIA, CA 92344-5507 US
Tel: 909-615-6156 Fax: --
Tel: 909-615-6156 Fax: --
Contact information for business:
9032 SEAL BEACH DR HESPERIA, CA 92344-5507 US
Tel: 909-615-6156 Fax: --
Tel: 909-615-6156 Fax: --
Registration Information:
NPI: 1184391112
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family | CA | 95018006 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
