Individual
DR. BENJAMIN VICTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4051 GLENWOOD ST, IRVINE, CA 92604-2220
(949) 246-2806
Mailing address
4051 GLENWOOD ST, IRVINE, CA 92604-2220
(949) 246-2806
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
G79372
CA
Other
Enumeration date
11/07/2009
Last updated
11/07/2009
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