Individual
ELIASAR BENJAMIN MACIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
427 CENTRAL AVE, FILLMORE, CA 93015
(805) 524-2559
(805) 524-2596
Mailing address
552 SESPE AVE, FILLMORE, CA 93015-1957
(805) 524-2559
(805) 524-2596
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA19432
CA
Other
Enumeration date
11/27/2007
Last updated
08/29/2018
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