Individual
MR. BENJAMIN NATO PLATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PASTOR
Contact information
Practice address
616 E 8TH ST, NATIONAL CITY, CA 91950-2439
(619) 434-6632
(619) 434-4919
Mailing address
616 E 8TH ST, NATIONAL CITY, CA 91950-2439
(619) 434-6632
(619) 434-4919
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
BL3225-07
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D08608787
EDI SUBMITTER ID
CA
Enumeration date
12/19/2007
Last updated
12/19/2007
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