Ma, Chunbong Benjamin
Ma, Chunbong Benjamin is an individual health care provider with primary practice located at 1701 Divisadero St , San Francisco CA 94143-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Ma, Chunbong Benjamin can be contacted via phone (415) 353-7566.Contact Information
Primary practice address
1701 Divisadero St
San Francisco CA 94143-0001
Phone: (415) 353-7566
Fax: (415) 885-3862
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | A83610 | California |
Profile Details
NPI number | 1750333191 |
---|---|
LBN Legal business name | Ma, Chunbong Benjamin |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 16th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1750333191 | NPPES |
California | MEDICAID | 00A836100 |
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