Individual
DR. BENJAMIN RECORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3395 MICHELSON DR, #1224, IRVINE, CA 92612-4438
(801) 674-9686
Mailing address
3395 MICHELSON DR, #1224, IRVINE, CA 92612-4438
(801) 674-9686
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
137054
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
137054
CA
Other
Enumeration date
06/23/2011
Last updated
06/24/2015
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