Canceko, Benigno

Canceko, Benigno is an individual health care provider with primary practice located at 1150 N Indian Canyon Dr , Palm Springs CA 92262-4872. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Canceko, Benigno can be contacted via phone (760) 323-6511.

Contact Information

Primary practice address
1150 N Indian Canyon Dr Palm Springs CA 92262-4872
Fax: (530) 243-0445
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X A33012 California

Profile Details

NPI number 1831136290
LBN Legal business name Canceko, Benigno
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2006
Last updated Jul 9th, 2007 - about 17 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 1831136290 NPPES
California MEDICAID 00A330120

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