Individual
BENJAMIN JUAREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10820 MEMORY PARK AVE, MISSION HILLS, CA 91345-1524
(818) 356-6884
Mailing address
10820 MEMORY PARK AVE, MISSION HILLS, CA 91345-1524
(818) 356-6884
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
60213
CA
363A00000X
Physician Assistant
—
CA
Other
Enumeration date
05/31/2021
Last updated
01/05/2023
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