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Individual

MICHAEL S BENJAMIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7325 MEDICAL CENTER DR STE 301, WEST HILLS, CA 91307-1928
(818) 570-2134
(818) 835-0485
Mailing address
7325 MEDICAL CENTER DR STE 301, WEST HILLS, CA 91307-1928
(818) 570-2134
(818) 835-0485

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
A86460
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A864600
CA
05
GR0044500
CA
05
GR0044501
CA
01
W11063
MEDICARE ID GROUP
01
W11063A
MEDICARE ID GROUP
01
ZZZ27529Z
BLUE SHIELD
CA
01
ZZZ31206Z
BLUE SHIELD
CA
01
ZZZ47615Z
BLUE SHIELD
CA
05
ZZZ70294Z
CA
Enumeration date
04/24/2006
Last updated
01/24/2023
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