Individual
DR. BENJAMIN FAIR STORK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO, MPH
Contact information
Practice address
483 N AVIATION BLVD, EL SEGUNDO, CA 90245-2808
(310) 653-2873
Mailing address
483 N AVIATION BLVD, EL SEGUNDO, CA 90245-2808
(310) 653-2873
Taxonomy
Speciality
Code
Description
License number
State
2083A0100X
Aerospace Medicine Physician
02004570A
IN
2083X0100X
Occupational Medicine Physician
Primary
02004570A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02004570A
MEDICAL LICENSE
IN
Enumeration date
07/15/2013
Last updated
09/04/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us