Individual
DR. BENJAMIN ANTHONY CORONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 N STATE ST, CLINIC TOWER, SUITE A7D, LOS ANGELES, CA 90033-1029
(323) 409-5555
Mailing address
2010 ZONAL AVE # 1P10, LOS ANGELES, CA 90033-1026
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A184733
CA
2084P0800X
Psychiatry Physician
PTL7782
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/21/2021
Last updated
05/10/2023
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