# W BENTON BOONE MD MS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588530976
- **Authorized official:** MRS. DIANE L BOONE RN MS (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (310) 919-9560

## Contact information

- **Practice address:** 4201 TORRANCE BLVD STE 110, TORRANCE, CA 90503-4540
- **Practice address phone:** (310) 919-9560
- **Mailing address:** 4201 TORRANCE BLVD STE 110, TORRANCE, CA 90503-4540
- **Mailing address phone:** (310) 919-9560

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2083P0011X | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | — | NULL | Yes |
| 2083P0011X | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/14/2025
- **Last updated:** 10/14/2025