MEDICARE: BENSON KWEE D.O.

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	207Q00000X	Family Medicine Physician	20A15662	CA

General Provider Information

NPI Number	:	1861811762
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BENSON KWEE D.O.

Provider Business Mailing Address
First Line	:	1668 S GARFIELD AVE FL 2
Second Line	:
City	:	ALHAMBRA
State	:	CA
Zip	:	91801-5400
Country	:	US
Telephone Number	:	626-943-6476
Fax Number	:	626-900-9558

Provider Business Practice Location Address
First Line	:	1668 S GARFIELD AVE FL 2
Second Line	:
City	:	ALHAMBRA
State	:	CA
Zip	:	91801-5400
Country	:	US
Telephone Number	:	626-943-6476
Fax Number	:	626-900-9558

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

Provider Enumeration Date	:	04/08/2014
Last Update Date	:	04/09/2023

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