Organization
BENJAMIN MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALERIE RANDALL (OFFICE MANAGER)
(714) 565-1000
Entity
Organization
Contact information
Practice address
1450 E 17TH ST, SANTA ANA, CA 92705-8510
(714) 543-4500
Mailing address
PO BOX 51081, LOS ANGELES, CA 90051-5381
(818) 700-1250
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
08/21/2007
Last updated
08/21/2007
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