Organization
BENSONISRA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAXIM N. BENBASSAT MD (CEO)
(626) 825-1455
Entity
Organization
Contact information
Practice address
323 S HELIOTROPE AVE, MONROVIA, CA 91016-2914
(626) 825-1455
Mailing address
PO BOX 5486, ORANGE, CA 92863-5486
(818) 550-0900
(818) 550-0900
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
04/14/2021
Last updated
03/07/2024
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