Dacula, Benjamin Domingo

Dacula, Benjamin Domingo is an individual health care provider with primary practice located at 4502 E Avenue S , Palmdale CA 93552-4480. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Dacula, Benjamin Domingo can be contacted via phone (877) 554-4404.

Contact Information

Primary practice address
4502 E Avenue S Palmdale CA 93552-4480
Phone: (877) 554-4404
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 40182 Kentucky
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 25149 Oklahoma
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X C54857 California

Profile Details

NPI number 1295762326
LBN Legal business name Dacula, Benjamin Domingo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2006
Last updated Nov 29th, 2021 - about 3 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 1295762326 NPPES
Kentucky Other 40182 MEDICAL LICENSE
Kentucky Other 25149 MEDICAL LICENSE
Kentucky Other C54857 MEDICAL LICENSE

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