Individual
BENJAMIN I AMENDOLARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
627 SAN JULIAN ST, LOS ANGELES, CA 90014-2411
(213) 719-1737
Mailing address
1203 S RIMPAU BLVD, LOS ANGELES, CA 90019-3020
(551) 804-1673
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A193967
CA
Other
Enumeration date
03/24/2020
Last updated
08/08/2024
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