Dr. Benjamin Thomas Stafford
Hematology & Oncology
612 W Duarte Rd Suite 304
Arcadia
, California 91007-7602
Dr. Benjamin Thomas Stafford
Hematology & Oncology
612 W Duarte Rd Suite 304
Arcadia
, California 91007-7602
(626) 445-0647
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About
Features
Specialties
- Hematology & Oncology
Languages spoken
- English
Location
First Address
- Dr. Benjamin Thomas Stafford
- 612 W Duarte Rd Suite 304
- Arcadia, CA
- Zip : 91007-7602
- Fax : (626) 445-0647
- Phone : (626) 446-4461
Second Address
- Dr. Benjamin Thomas Stafford
- 612 W Duarte Rd Suite 304
- Arcadia, CA
- Zip : 91007-7602
- Fax : (626) 445-0647
- Phone : (626) 446-4461
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RH0003X | Hematology & Oncology | G19825 | CA |
National Provider Identifier
| NPI | 1063502318 |
|---|---|
| Provider Name | Dr. Benjamin Thomas Stafford |
| First Address | Arcadia, CA 91007-7602 |
| Second Address | Arcadia, CA 91007-7602 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/10/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| A40766 | (02) | CA |
| G19825 | STATE MEDICAL LICENSE NUM (01) | CA |
| YYY48961Y | (05) | CA |
| YYY48961Y | BLUE SHIELD OF CALIF GR N (01) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.