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EDGAR RODOLFO BENAVIDEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
23845 MCBEAN PKWY, VALENCIA, CA 91355-2083
(661) 200-2000
Mailing address
43361 GADSDEN AVE APT 330, LANCASTER, CA 93534-6139
(661) 537-5932

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
95213132
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95038959
CA

Other

Enumeration date
08/26/2022
Last updated
03/12/2026
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