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Individual

MR. BEN SAMONTE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
5520 OVERLAND AVE, SAN DIEGO, CA 92123-1206
(858) 694-3900
Mailing address
723 EASTSHORE TER UNIT 57, CHULA VISTA, CA 91913-2418
(619) 274-4984

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95248450
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
20131241
KAISER
CA
Enumeration date
07/26/2022
Last updated
07/26/2022
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