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Individual

ADAM J BENJAMIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
2930 MCCLURE ST, 4, OAKLAND, CA 94609-3505
(510) 465-2411
(510) 465-4807
Mailing address
15550 ROCKFIELD BLVD, B220, IRVINE, CA 92618-2720
(949) 598-9999
(949) 598-9990

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC24794
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DC0247940
BLUE SHIELD
CA
Enumeration date
10/05/2006
Last updated
08/19/2010
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