Organization
BEN KUNDARIA MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANITA K. GERGEN (OFFICE MANAGER)
(805) 922-6616
Entity
Organization
Contact information
Practice address
1505 SHEPARD DR STE 106, SANTA MARIA, CA 93454-7016
(805) 922-6616
Mailing address
1505 SHEPARD DR STE 106, SANTA MARIA, CA 93454-7016
(805) 922-6616
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A35703
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A357030
—
CA
Enumeration date
02/28/2007
Last updated
04/25/2017
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