MEDICARE: DR. BENITA SAFARYANS ABORM, DAOM, LAC.

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	171100000X	Acupuncturist	AC 17332	CA

General Provider Information

NPI Number	:	1467994632
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BENITA SAFARYANS ABORM, DAOM, LAC.

Provider Business Mailing Address
First Line	:	1500 S CENTRAL AVE STE 300
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91204-2587
Country	:	US
Telephone Number	:	818-823-6721
Fax Number	:

Provider Business Practice Location Address
First Line	:	1500 S CENTRAL AVE STE 300
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91204-2587
Country	:	US
Telephone Number	:	818-823-6721
Fax Number	:

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

Provider Enumeration Date	:	11/04/2016
Last Update Date	:	05/29/2026

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