MEDICARE: BENJAMIN BELARMINO JOSEPH

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
1	251G00000X	Community Based Hospice Care Agency	550006739	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1285383570
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BENJAMIN BELARMINO JOSEPH

Provider Business Mailing Address
First Line	:	8925 SEPULVEDA BLVD STE 204D
Second Line	:
City	:	NORTH HILLS
State	:	CA
Zip	:	91343-4354
Country	:	US
Telephone Number	:	818-322-8605
Fax Number	:	818-647-6469

Provider Business Practice Location Address
First Line	:	8925 SEPULVEDA BLVD STE 204D
Second Line	:
City	:	NORTH HILLS
State	:	CA
Zip	:	91343-4354
Country	:	US
Telephone Number	:	818-322-8605
Fax Number	:	818-647-6469

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/22/2022
Last Update Date	:	03/22/2022

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