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Individual

DR. JACQUELINE A BENJAMIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1500 SAN PABLO ST, LOS ANGELES, CA 90033-5313
(323) 442-9621
Mailing address
1500 SAN PABLO ST, LOS ANGELES, CA 90033-5313
(323) 442-9621

Taxonomy

Speciality
Code
Description
License number
State
207ZF0201X
Forensic Pathology Physician
12173
NV
207ZN0500X
Neuropathology Physician
Primary
A77777
CA

Other

Enumeration date
04/14/2010
Last updated
08/23/2011
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