Individual
ZAN BENJAMIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1307 W 6TH ST, SUITE #113, CORONA, CA 92882-3294
(951) 278-8910
(951) 278-9895
Mailing address
1307 W 6TH ST, SUITE #113, CORONA, CA 92882-3294
(951) 278-8910
(951) 278-9895
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
A54540
CA
Other
Enumeration date
11/15/2006
Last updated
03/07/2023
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