Individual
BENJAMIN TEOFILO HOURANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
754 MEDICAL CENTER CT, #100, CHULA VISTA, CA 91911-6654
(619) 421-4000
(619) 421-6395
Mailing address
754 MEDICAL CENTER CT, #100, CHULA VISTA, CA 91911-6654
(619) 421-4000
(619) 421-6395
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
19821
CA
207RC0000X
Cardiovascular Disease Physician
Primary
19821
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W10946
MEDICARE EMC
CA
Enumeration date
08/17/2006
Last updated
09/11/2025
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