Individual
BENJAMIN NULSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1223 16TH ST STE 3100, SANTA MONICA, CA 90404-1275
(310) 582-6240
(424) 259-7789
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
(310) 301-8771
(310) 301-8751
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
A147910
CA
208M00000X
Hospitalist Physician
276855
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2013
Last updated
11/04/2020
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