Individual
DIANA BENITES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
625 FAIR OAKS AVE, STE. 300, SOUTH PASADENA, CA 91030-2630
(626) 395-7100
Mailing address
5523 HAROLD WAY APT 15, LOS ANGELES, CA 90028-6752
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
04/20/2007
Last updated
07/08/2007
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