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General NPI Number Information
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NPI Number | 1285752832
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Entity Type | Individual
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Provider Name | RAUL JAUQUIN BENDANA M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/26/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1619 AND A HALF WEST PICO BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90015
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Country | US
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Telephone | 213-487-0615
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Fax | 213-381-2251
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Provider Business Mailing Address
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Address Line | 1619 AND A HALF WEST PICO BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90015
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Country | US
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Telephone | 213-487-0615
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Fax | 213-381-2251
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | A040680
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | A040680
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License Number State | CA
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