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NPI Code Detail

MEDICARE: BENJAMIN FERNANDEZ VALDEZ M.D.

MEDICARE:   BENJAMIN FERNANDEZ VALDEZ  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics PhysicianG068466CA

General Provider Information

NPI Number : 1083617096
Entity Type Code : Individual
Provider Name (Legal Business Name) : BENJAMIN FERNANDEZ VALDEZ M.D.
Provider Business Mailing Address
First Line : 5440 PARK DR
Second Line : STE 104
City : ROCKLIN
State : CA
Zip : 95765-5562
Country : US
Telephone Number : 916-677-8570
Fax Number : 916-677-8575
Provider Business Practice Location Address
First Line : 5440 PARK DR
Second Line : STE 104
City : ROCKLIN
State : CA
Zip : 95765-5562
Country : US
Telephone Number : 916-677-8570
Fax Number : 916-677-8575
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2005
Last Update Date : 07/08/2007

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Directions to “ BENJAMIN FERNANDEZ VALDEZ M.D.” Practice Location

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