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Individual

BENEDICT TIONG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2020 SANTA MONICA BLVD STE 540, SANTA MONICA, CA 90404
(310) 582-6350
(310) 582-6352
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
(310) 301-8707
(310) 301-8751

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A151775
CA
207RR0500X
Rheumatology Physician
Primary
A151775
CA

Other

Enumeration date
05/24/2013
Last updated
07/25/2018
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