Individual
ARELI DEL CARMEN BENITEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 S SEPULVEDA BLVD STE 200, MANHATTAN BEACH, CA 90266-6876
(310) 546-3461
Mailing address
9080 BLOOMFIELD AVE SPC 162, CYPRESS, CA 90630-8520
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
20577
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
94782449C
MEDI-CAL
—
Enumeration date
08/17/2017
Last updated
08/10/2021
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