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NPI Code Detail

MEDICARE: BENJAMIN BERMAN

MEDICARE: BENJAMIN BERMAN
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1962341719
Entity Type Code : Individual
Provider Name (Legal Business Name) : BENJAMIN BERMAN
Provider Business Mailing Address
First Line : 235 S PALISADE DR
Second Line :
City : SANTA MARIA
State : CA
Zip : 93454-5948
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 235 S PALISADE DR
Second Line :
City : SANTA MARIA
State : CA
Zip : 93454-5948
Country : US
Telephone Number : 805-739-3561
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/26/2026
Last Update Date : 03/26/2026

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Directions to “ BENJAMIN BERMAN ” Practice Location

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