Healthcare Provider Details

I. General information

NPI: 1881739662
Provider Name (Legal Business Name): MRS. LYNN MARIE DEL BENE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/20/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

455 SILICON VALLEY BLVD
SAN JOSE CA
95138-1858
US

IV. Provider business mailing address

40 BAYTREE WAY APT 1
SAN MATEO CA
94402-1249
US

V. Phone/Fax

Practice location:
  • Phone: 408-284-9000
  • Fax: 408-284-9010
Mailing address:
  • Phone: 650-218-2184
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: