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NPI Code Detail

MEDICARE: BENJAMIN JOHN GUIB SANTOS

MEDICARE: BENJAMIN JOHN GUIB SANTOS
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
1227900000XRegistered Respiratory Therapist39565CA

General Provider Information

NPI Number : 1831020122
Entity Type Code : Individual
Provider Name (Legal Business Name) : BENJAMIN JOHN GUIB SANTOS
Provider Business Mailing Address
First Line : 2051 MARENGO ST
Second Line :
City : LOS ANGELES
State : CA
Zip : 90033-1352
Country : US
Telephone Number : 323-409-7928
Fax Number :
Provider Business Practice Location Address
First Line : 2051 MARENGO ST
Second Line :
City : LOS ANGELES
State : CA
Zip : 90033-1352
Country : US
Telephone Number : 323-409-7928
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2026
Last Update Date : 05/26/2026

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Directions to “ BENJAMIN JOHN GUIB SANTOS ” Practice Location

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