Individual
BENJAMIN C BENGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2001 SANTA MONICA BLVD STE 760W, SANTA MONICA, CA 90404-2102
(310) 582-7474
(310) 582-7481
Mailing address
5767 W CENTURY BLVD, SUITE 400, LOS ANGELES, CA 90045-5631
(310) 319-1234
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A95204
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A952040
—
CA
Enumeration date
11/09/2005
Last updated
11/21/2022
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