Individual
LARRY BENTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5220 W WASHINGTON BLVD, LOS ANGELES, CA 90016-1331
(323) 287-2023
Mailing address
2644 30TH ST STE 100, SANTA MONICA, CA 90405-3051
(310) 314-6200
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
0013819
CA
Other
Enumeration date
09/20/2024
Last updated
09/20/2024
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