Individual
DR. BENJAMIN NOBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4560 ADMIRALTY WAY STE 100, MARINA DEL REY, CA 90292-5424
(310) 827-3700
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
20A21094
CA
207Q00000X
Family Medicine Physician
8616
NE
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
20A21094
CA
Other
Enumeration date
06/20/2019
Last updated
08/31/2023
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