Individual
BENZEN BYRON CO LIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1086 S FAIRFAX AVE, LOS ANGELES, CA 90019-4401
(424) 258-0124
Mailing address
675 BONNIE CLAIRE DR, WALNUT, CA 91789-4197
(626) 800-8079
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA62168
CA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
11/09/2021
Last updated
01/09/2023
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