Individual
MR. BENNIE-JOHN MILAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
8352 HAZELTINE AVE, PANORAMA CITY, CA 91402-3758
(818) 974-1915
Mailing address
8352 HAZELTINE AVE, PANORAMA CITY, CA 91402-3758
(818) 974-1915
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
54020
CA
Other
Enumeration date
11/28/2016
Last updated
11/28/2016
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