Organization
BENSON FAMILY MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AURORA L BENSON DO (PRESIDENT)
(760) 340-2682
Entity
Organization
Contact information
Practice address
41555 COOK ST, STE 130, PALM DESERT, CA 92211
(760) 340-2682
(760) 773-9695
Mailing address
41555 COOK ST, STE 130, PALM DESERT, CA 92211
(760) 340-2682
(760) 773-9695
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20A4564
CA
207Q00000X
Family Medicine Physician
20A5361
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AX45640
—
CA
05
—
00AX53610
—
CA
05
—
GR0069290
—
CA
Enumeration date
05/20/2006
Last updated
08/22/2020
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