Individual
BENEDICT TERENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
401 S LA BREA AVE, INGLEWOOD, CA 90301-2321
(310) 275-7575
Mailing address
1541 WILLOW AVE, LA PUENTE, CA 91746-1144
(626) 782-8315
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95036164
CA
Other
Enumeration date
03/25/2025
Last updated
09/29/2025
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