Individual
ROBERT BENITEZ JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5567 RESEDA BLVD STE 107, TARZANA, CA 91356-2648
(818) 968-2337
(818) 591-1346
Mailing address
14917 VALEDA DR, LA MIRADA, CA 90638-2208
(562) 665-4471
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
3560
CA
Other
Enumeration date
08/08/2016
Last updated
08/08/2016
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