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
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