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NPI Code Detail

MEDICARE: BONNIE BENJAMIN

MEDICARE: BONNIE BENJAMIN
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
1101Y00000XCounselor

General Provider Information

NPI Number : 1891285912
Entity Type Code : Individual
Provider Name (Legal Business Name) : BONNIE BENJAMIN
Provider Business Mailing Address
First Line : 2026 W BEACON AVE
Second Line :
City : ANAHEIM
State : CA
Zip : 92804-4406
Country : US
Telephone Number : 657-276-7030
Fax Number :
Provider Business Practice Location Address
First Line : 2026 W BEACON AVE
Second Line :
City : ANAHEIM
State : CA
Zip : 92804-4406
Country : US
Telephone Number : 657-276-7030
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2018
Last Update Date : 05/14/2018

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Directions to “ BONNIE BENJAMIN ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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