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Individual

DR. BENJAMIN J HEGENBARTH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
72780 COUNTRY CLUB DR STE 203, RANCHO MIRAGE, CA 92270-4150
(760) 834-3593
(760) 674-3845
Mailing address
39000 BOB HOPE DR, RANCHO MIRAGE, CA 92270-3221
(760) 340-3911

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
007738
AZ
207Q00000X
Family Medicine Physician
Primary
20A24667
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
007738
MEDICAL LICENSE
AZ
Enumeration date
05/06/2015
Last updated
11/11/2025
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