Benjamin, Samuel D.

Benjamin, Samuel D. is an individual health care provider with primary practice located at 121 S Long Beach Blvd , Compton CA 90221-3423. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Benjamin, Samuel D. can be contacted via phone (310) 627-5850.

Contact Information

Primary practice address
121 S Long Beach Blvd Compton CA 90221-3423
Phone: (310) 627-5850
Fax: (323) 726-0274
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 134668 California

Profile Details

NPI number 1063625424
LBN Legal business name Benjamin, Samuel D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2007
Last updated Mar 21st, 2017 - about 8 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 1063625424 NPPES
Arizona MEDICAID 207648

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