Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | A174435 | CA |
N | 111NI0900X | Internist | A174435 | CA |
NPI | 1003304189 |
---|---|
Provider Name | Daniel Benhuri |
First Address | Culver City, CA 90230-4605 |
Second Address | Culver City, CA 90230-4605 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/04/2018 |
Last Update Date | 08/09/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1003304189 | 1003304189 (01) |