Individual
BENJAMIN O ORDAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8767 WILSHIRE BLVD FL 3, BEVERLY HILLS, CA 90211-2714
(310) 385-6031
Mailing address
4140 W 190TH ST, TORRANCE, CA 90504-5513
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A114571
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A114571
STATE LICENSE
CA
Enumeration date
07/01/2008
Last updated
08/22/2023
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