Organization
PJ BENIPAL MD INC
Active
Organization
PJ BENIPAL MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GLORIA MORENO (OFFICE MANAGER)
(805) 347-2722
Entity
Organization
Contact information
Practice address
116 S PALISADE DR STE 210, SANTA MARIA, CA 93454-8906
(805) 347-7355
(805) 347-7354
Mailing address
116 S PALISADE DR STE 210, SANTA MARIA, CA 93454-8906
(805) 347-7355
(805) 347-7354
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
A64620
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A646200
—
CA
01
—
A64620
LICENSE NUMBER
CA
Enumeration date
02/22/2007
Last updated
01/22/2014
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up