Zequeira-Russell, Benjamin

Zequeira-Russell, Benjamin is an individual health care provider with primary practice located at 140 E Colorado Blvd Ste D , Monrovia CA 91016-5145. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Zequeira-Russell, Benjamin can be contacted via phone (626) 358-1564.

Contact Information

Primary practice address
140 E Colorado Blvd Ste D Monrovia CA 91016-5145
Phone: (626) 358-1564
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY19727 California

Profile Details

NPI number 1215382254
LBN Legal business name Zequeira-Russell, Benjamin
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2016
Last updated Apr 27th, 2016 - about 8 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 1215382254 NPPES
California Other 1407114986 TYPE 2 NPI- REAL CONNECTIONS CHILD DEVELOPMENT INSTITUTE

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