Benjamin, Kenny

Benjamin, Kenny is an individual health care provider with primary practice located at 1317 Huntington Dr , S Pasadena CA 91030-4511. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, which is considered as his primary health care specialty. Benjamin, Kenny can be contacted via phone (323) 344-5541.

Contact Information

Primary practice address
1317 Huntington Dr S Pasadena CA 91030-4511
Phone: (323) 344-5541
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X

Profile Details

NPI number 1053510321
LBN Legal business name Benjamin, Kenny
Credentials Marriage and Family Therapist (MFT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2007
Last updated Jan 23rd, 2009 - about 16 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1053510321 NPPES
California Other 7708 MEDI-CAL
California Other 7368 MEDI-CAL
California Other 7184 MEDI-CAL
California Other 7667 MEDI-CAL

Popular Providers