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NPI Code Detail

MEDICARE: ULYSSA BENAVIDES

MEDICARE: ULYSSA BENAVIDES
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
1225400000XRehabilitation Practitioner

General Provider Information

NPI Number : 1427728989
Entity Type Code : Individual
Provider Name (Legal Business Name) : ULYSSA BENAVIDES
Provider Business Mailing Address
First Line : 1501 HUGHES WAY STE 150
Second Line :
City : LONG BEACH
State : CA
Zip : 90810-1878
Country : US
Telephone Number : 310-221-6336
Fax Number :
Provider Business Practice Location Address
First Line : 21535 HAWTHORNE BLVD STE 102
Second Line :
City : TORRANCE
State : CA
Zip : 90503-6626
Country : US
Telephone Number : 310-817-2177
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2021
Last Update Date : 07/09/2025

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Directions to “ ULYSSA BENAVIDES ” Practice Location

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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.

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