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Individual

BENJAMIN EKEOMA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
4915 S WESTERN AVE, LOS ANGELES, CA 90062-2327
(213) 216-5062
Mailing address
4122 BUCKINGHAM RD APT C, LOS ANGELES, CA 90008-3339
(323) 400-5238

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
E3259453
CA

Other

Enumeration date
05/04/2023
Last updated
05/04/2023
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