Individual
NEILEN BENVEGNU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
441 OLD NEWPORT BLVD, NEWPORT BEACH, CA 92663-4210
(949) 491-9991
Mailing address
441 OLD NEWPORT BLVD, NEWPORT BEACH, CA 92663-4210
(714) 309-9270
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
A158103
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/17/2017
Last updated
03/08/2023
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