Individual
BENJAMIN BEHROOZAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2221 LINCOLN BLVD # 200, SANTA MONICA, CA 90405-1320
(310) 396-9999
(310) 664-8901
Mailing address
2221 LINCOLN BLVD # 200, SANTA MONICA, CA 90405-1320
(310) 396-9999
(310) 664-8901
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A41374
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A413741
—
CA
Enumeration date
12/06/2006
Last updated
01/04/2012
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