Individual
BENA TEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
6340 IRVINE BLVD, IRVINE, CA 92620
(949) 559-6500
(949) 559-6510
Mailing address
PO BOX 15787, NEWPORT BEACH, CA 92659-5787
(949) 559-6500
(949) 559-6510
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A80908
CA
Other
Enumeration date
07/25/2006
Last updated
02/25/2019
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