Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | SPI667 | CA |
N | 207U00000X | Nuclear Medicine Specialist | SPI667 | CA |
NPI | 1528642519 |
---|---|
Provider Name | Dr. Matthias Benz |
First Address | Los Angeles, CA 90045-5631 |
Second Address | Los Angeles, CA 90095-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/05/2021 |
Last Update Date | 14/10/2021 |