Individual
DR. CONSTANCE A BENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
200 W ARBOR DR, MC 8201, SAN DIEGO, CA 92103-9000
(619) 543-3995
(619) 543-3183
Mailing address
PO BOX 232410, SAN DIEGO, CA 92193-2410
(858) 249-6748
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
G87372
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G873720
—
CA
Enumeration date
05/04/2006
Last updated
07/15/2019
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