MEDICARE: ERIN FRASER BENESCH, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1407310121
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ERIN FRASER BENESCH, INC

Provider Business Mailing Address
First Line	:	192 MILKY WAY
Second Line	:
City	:	IRVINE
State	:	CA
Zip	:	92618-8889
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	17452 IRVINE BLVD STE 213
Second Line	:
City	:	TUSTIN
State	:	CA
Zip	:	92780-3031
Country	:	US
Telephone Number	:	714-253-4697
Fax Number	:

Authorized Official
Title or Position	:	PSYCHIATRIST
Name	:	DR. ERIN BENESCH
Credential	:	DO
Telephone Number	:	714-876-4172

Provider Enumeration Date	:	01/27/2019
Last Update Date	:	01/27/2019

Similar Medicare Providers

1356865422 — F.FARSHIDI DDS MD INC
Practice Location Address:

17452 IRVINE BLVD STE 100
TUSTIN, CA
92780-3031

Practice Phone: 714-838-4141
Practice Fax:

1740285600 — DR. BARBARA ROSEN PH.D.
Practice Location Address:

17452 IRVINE BLVD , STE 214
TUSTIN, CA
92780-3031

Practice Phone: 714-731-6111
Practice Fax: 714-730-4709

1134101611 — MR. CHAD JOSEPH ANGOTTA M.A., M.F.T.
Practice Location Address:

17452 IRVINE BLVD , SUITE #214
TUSTIN, CA
92780-3031

Practice Phone: 714-731-6111
Practice Fax:

1932248085 — DR JEFFREY LEE MD DMD
Practice Location Address:

17452 IRVINE BLVD , SUITE 100
TUSTIN, CA
92780-3031

Practice Phone: 714-734-9363
Practice Fax: 714-734-9362

1326347873 — GRACE EUN KWON D.O.
Practice Location Address:

17452 IRVINE BLVD STE 213
TUSTIN, CA
92780-3031

Practice Phone: 714-371-6977
Practice Fax: 800-836-2401

1750676755 — DR. FARZIN SEAN FARSHIDI DDS MD
Practice Location Address:

17452 IRVINE BLVD STE 100
TUSTIN, CA
92780-3031

Practice Phone: 949-310-5888
Practice Fax:

Directions to “ERIN FRASER BENESCH, INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.