Individual
MR. BENJAMIN VALLEJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
A.B.O & N.C.L.E
Contact information
Practice address
3565 DEL AMO BLVD, SUITE #203, TORRANCE, CA 90503-1637
(310) 214-0811
(310) 793-4658
Mailing address
3565 DEL AMO BLVD, SUITE #203, TORRANCE, CA 90503
(310) 214-0811
(310) 793-4658
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
SL6458
CA
Other
Enumeration date
08/19/2013
Last updated
08/19/2013
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