Healthcare Provider Details

I. General information

NPI: 1710723317
Provider Name (Legal Business Name): YVES-SMITH BENJAMIN MD, MPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/02/2024
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2776 PACIFIC AVE
LONG BEACH CA
90806-2613
US

IV. Provider business mailing address

2776 PACIFIC AVE
LONG BEACH CA
90806-2613
US

V. Phone/Fax

Practice location:
  • Phone: 562-533-0320
  • Fax:
Mailing address:
  • Phone: 562-533-0320
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberA210225
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: