Organization
BENJAMIN PESSAH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN PESSAH D.P.M. (SUPPLIER)
(619) 575-1020
Entity
Organization
Contact information
Practice address
1729 PALM AVE, SAN DIEGO, CA 92154-1150
(619) 575-1020
(619) 343-3449
Mailing address
1729 PALM AVE, SAN DIEGO, CA 92154-1150
(619) 575-1020
(619) 434-3449
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
4893810001
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4893810001
DME MEDICARE
ND
Enumeration date
08/27/2007
Last updated
08/27/2007
Update your record
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