Benjamin, Alice Lee A
Benjamin, Alice Lee A is an individual health care provider with primary practice located at 11325 Riverside Dr , Toluca Lake CA 91602-1220. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Benjamin, Alice Lee A can be contacted via phone (619) 252-8796.Contact Information
Primary practice address
11325 Riverside Dr
Toluca Lake CA 91602-1220
Phone: (619) 252-8796
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 4704326451 | Michigan |
Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist | 364S00000X | 3231 | California |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 95016952 | California |
Profile Details
NPI number | 1922614411 |
---|---|
LBN Legal business name | Benjamin, Alice Lee A |
Credentials | ACNS-BC, FNP-B |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 20th, 2020 |
Last updated | Jun 8th, 2023 - about last year |
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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