Individual
DR. BENJAMIN TAITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
PO BOX 7737, LAGUNA NIGUEL, CA 92607-7737
(949) 409-1615
Mailing address
PO BOX 7737, LAGUNA NIGUEL, CA 92607-7737
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSB94026081
CA
103T00000X
Psychologist
Primary
PSY36705
CA
Other
Enumeration date
05/06/2024
Last updated
05/02/2026
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