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General NPI Number Information
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NPI Number | 1982106233
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Entity Type | Organization
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Legal Business Name | MICHAEL BENJMAIN, M.D., INC.
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Dates
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Enumeration Date | 03/02/2018
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Last Update Date | 11/01/2018
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Provider Practice Location Address
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Address Line | 10630 SEPULVEDA BLVD STE 202
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City | MISSION HILLS
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State | CA
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Zip | 91345-1938
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Country | US
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Telephone | 747-999-5690
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Fax |
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Provider Business Mailing Address
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Address Line | 7325 MEDICAL CENTER DR STE 301
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City | WEST HILLS
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State | CA
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Zip | 91307-1928
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Country | US
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Telephone | 818-570-2134
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | BRITTANY TRAUGH
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Credential |
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Telephone | 805-517-4804
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | A86460
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License Number State | CA
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