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Individual

ADY BENYISHAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
22254 DUMETZ RD, WOODLAND HILLS, CA 91364-3000
(818) 445-1515
Mailing address
22254 DUMETZ RD, WOODLAND HILLS, CA 91364-3000
(800) 528-4800

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
125386
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
125386
OTHER
CA
Enumeration date
10/12/2021
Last updated
10/12/2021
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