Boone, Willie Benton

Boone, Willie Benton is an sole proprietor health care provider with primary practice located at 25 Tramonto Dr , Rancho Palos Verdes CA 90275-5387. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Boone, Willie Benton can be contacted via phone (310) 265-9313.

Contact Information

Primary practice address
25 Tramonto Dr Rancho Palos Verdes CA 90275-5387
Phone: (310) 265-9313
Fax: (310) 265-8434
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X G13745 California

Profile Details

NPI number 1942236542
LBN Legal business name Boone, Willie Benton
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 24th, 2006
Last updated May 17th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1942236542 NPPES
California Other WG13745C INDIVIDUAL PROVIDER TRANSACTION ACCESS NUMBER (PTAN)
California MEDICAID 00G137450 INDIVIDUAL PROVIDER TRANSACTION ACCESS NUMBER (PTAN)
California Other G13745 INDIVIDUAL PROVIDER TRANSACTION ACCESS NUMBER (PTAN)

Popular Providers