Benitez, Lisa

Benitez, Lisa is an sole proprietor health care provider with primary practice located at 12501 Imperial Hwy # 500B , Norwalk CA 90650-3179. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Other Service Providers / Community Health Worker. Other Service Providers / Community Health Worker is her primary health care specialty. Benitez, Lisa can be contacted via phone (562) 864-7821.

Contact Information

Primary practice address
12501 Imperial Hwy # 500B Norwalk CA 90650-3179
Phone: (562) 864-7821
Fax: (562) 864-7864
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X California
Other Service Providers / Community Health Worker 172V00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1821301185
LBN Legal business name Benitez, Lisa
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 15th, 2010
Last updated Mar 11th, 2024 - about 6 months 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 1821301185 NPPES
California Other 0287809 MEDI-CAL
California Other 02870709 MEDI-CAL

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