Winarko, Benjamin

Winarko, Benjamin is an sole proprietor health care provider with primary practice located at 10820 183Rd St , Cerritos CA 90703-8013. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Winarko, Benjamin can be contacted via phone (800) 823-4040.

Contact Information

Primary practice address
10820 183Rd St Cerritos CA 90703-8013
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A115005 California

Profile Details

NPI number 1811255185
LBN Legal business name Winarko, Benjamin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 24th, 2012
Last updated Dec 1st, 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 1811255185 NPPES
California Other A115005 MEDICAL BOARD OF CALIFORNIA CERTIFICATE NUMBER

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