Healthcare Provider Details

I. General information

NPI: 1285044008
Provider Name (Legal Business Name): BENSON LEE D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: BENSON CHAU

II. Dates (important events)

Enumeration Date: 05/01/2014
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 MOUNT VERNON AVE
BAKERSFIELD CA
93306-4018
US

IV. Provider business mailing address

2538 VALENTINA WAY APT 1
COMMERCE CA
90040-2628
US

V. Phone/Fax

Practice location:
  • Phone: 661-326-2000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207SG0201X
TaxonomyClinical Genetics (M.D.) Physician
License Number20A14681
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: