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Organization
JIMI O. BENSON MD., INC
Active
Organization
JIMI O. BENSON MD., INC
Active
Other names
Broadway medical clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JIMI OLA BENSON M.D. (PRESIDENT)
(301) 466-1078
Entity
Organization
Contact information
Practice address
1351 BROADWAY, EL CAJON, CA 92021-5811
(619) 383-6703
(866) 473-3324
Mailing address
1351 BROADWAY, EL CAJON, CA 92021-5811
(619) 383-6703
(866) 473-3324
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A116611
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275936270
—
CA
05
—
1477751667
—
CA
Enumeration date
10/03/2014
Last updated
02/07/2022
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