Individual
ANGELICA BENITEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
4650 W SUNSET BLVD, MS76, LOS ANGELES, CA 90027-6062
(323) 669-2113
Mailing address
2105 BEVERLY BLVD, 117, LOS ANGELES, CA 90057-2216
(213) 413-8742
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-13468
CA
Other
Enumeration date
04/24/2017
Last updated
04/24/2017
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