Individual
DR. BENITO P LADDARAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2105 BEVERLY BLVD, STE 117, LOS ANGELES, CA 90057
(213) 413-8742
(213) 413-6482
Mailing address
2105 BEVERLY BLVD, STE 117, LOS ANGELES, CA 90057
(213) 413-8742
(213) 413-6482
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A365910
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A84897
UPIN
CA
01
—
GR0064390
MEDICAL
CA
Enumeration date
09/05/2006
Last updated
07/27/2010
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