Individual
BENJAMIN BRENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1798 N GAREY AVE, POMONA, CA 91767-2918
(909) 865-9500
Mailing address
2100 POWELL ST, SUITE 900, EMERYVILLE, CA 94608-1826
(610) 420-7378
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
53495
CA
Other
Enumeration date
07/02/2016
Last updated
07/03/2016
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