Individual
MR. BENJAMIN NABONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPT
Contact information
Practice address
15211 VANOWEN ST, SUITE 105, VAN NUYS, CA 91405-3606
(818) 997-7711
(818) 997-3744
Mailing address
15211 VANOWEN ST, SUITE 105, VAN NUYS, CA 91405-3606
(818) 997-7711
(818) 997-3744
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT30066
CA
Other
Enumeration date
10/19/2006
Last updated
06/16/2023
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