Benitez, Aaron Benjamin

Benitez, Aaron Benjamin is an sole proprietor health care provider with primary practice located at 21001 Covello St , Canoga Park CA 91303-1403. He recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as his primary health care specialty. Benitez, Aaron Benjamin can be contacted via phone (818) 825-1389.

Contact Information

Primary practice address
21001 Covello St Canoga Park CA 91303-1403
Fax: (323) 443-3904
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 173 California

Profile Details

NPI number 1801944814
LBN Legal business name Benitez, Aaron Benjamin
Credentials R.D.H.A.P.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 8th, 2007
Last updated Nov 14th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801944814 NPPES
California MEDICAID Z89783-01

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