Individual
BENJAMIN CORPUZ OREJUDOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2400 E 4TH ST, PARADISE VALLEY HOSPITAL, NATIONAL CITY, CA 91950-2026
(619) 470-4190
(619) 470-4197
Mailing address
PO BOX 190, SIMI VALLEY, CA 93062-0190
(805) 522-5940
(805) 522-6401
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A31814
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A318140
—
CA
Enumeration date
10/17/2006
Last updated
12/01/2021
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