Individual
MR. BENEDICT JAMES SAN JOSE MALINAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
3386 FALLENLEAF DR, CORONA, CA 92882-8781
(229) 220-4406
Mailing address
3386 FALLENLEAF DR, CORONA, CA 92882-8781
(229) 220-4406
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN204584
GA
363L00000X
Nurse Practitioner
Primary
95029695
CA
363LF0000X
Family Nurse Practitioner
6838
MN
363LF0000X
Family Nurse Practitioner
R47370
ND
363LF0000X
Family Nurse Practitioner
RN204584
GA
Other
Enumeration date
09/23/2016
Last updated
03/04/2026
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