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Organization
WEST COAST ASSOCIATION
Active
Organization
WEST COAST ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD A BENAVIDEZ PA (PHYSICIAN ASSISTANT)
(909) 618-5398
Entity
Organization
Contact information
Practice address
2815 S MAIN ST, CORONA, CA 92882-2531
(909) 618-5398
Mailing address
12883 ROCK CREST LN, CHINO HILLS, CA 91709-1143
(909) 618-5398
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
NULL
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Enumeration date
09/23/2026
Last updated
09/23/2026
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