Individual
DR. BENJAMIN TIET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10833 LE CONTE AVE, B2-427, MDCC, LOS ANGELES, CA 90095-1743
(310) 825-5296
(310) 825-9524
Mailing address
10833 LE CONTE AVE, B2-427, MDCC, LOS ANGELES, CA 90095-1743
(310) 825-5296
(310) 825-9524
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A99095
CA
Other
Enumeration date
08/23/2007
Last updated
02/11/2022
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