Individual
ISABEL BENAVIDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
250 PROSPECT PL, CORONADO, CA 92118-1943
(480) 967-6500
(480) 967-6540
Mailing address
27068 LA PAZ RD, STE 299, ALISO VIEJO, CA 92656-3041
(505) 870-3369
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2002-0010
NM
207P00000X
Emergency Medicine Physician
A68376
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000G3864
—
NM
05
—
635948
—
AZ
Enumeration date
06/21/2006
Last updated
04/25/2014
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