W. Benton Boone A Professional Corporation in Los Angeles - Specialist
W. Benton Boone A Professional Corporation - NPI 1730114257
W. Benton Boone A Professional Corporation is a Specialist in Los Angeles, California. W. Benton Boone A Professional Corporation practices all healthcare services and medical treatments related to Specialist. The NPI Number for W. Benton Boone A Professional Corporation is 1730114257. The last update date is 2012-02-29.
W. Benton Boone A Professional Corporation's current location address is 8616 La Tijera Blvd, Los Angeles, California. You can contact this provider via phone number 3106732020 and fax number 3106495290. The mailing address for W. Benton Boone A Professional Corporation is 8616 La Tijera Blvd, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | W. Benton Boone A Professional Corporation |
|---|---|
| Address | 8616 La Tijera Blvd, Los Angeles, California |
| Phone Number | 3106732020 |
| Fax Number | 3106495290 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Boone Benton Willie |
| Credentials | M.D. |
| Telephone Number | 3106732020 |
NPI Number Detail
| NPI Number | 1730114257 |
|---|---|
| Provider Enumeration Date | 2006-07-12 |
| Last Updated Date | 2012-02-29 |
Provider Mailing Address Detail
| Address | 8616 La Tijera Blvd |
|---|---|
| City | Los Angeles |
| State | California (CA) |
| Post Code | 900453944 |
| Phone Number | 3106732020 |
| Fax Number | 3106495290 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | G13745 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00G137450 | CA | -- | |
| G13745 | CA LICENSE | ||
| W21977 | CA | GROUP PTAN |
Post Comment/ Review Below
What is the unique identifier code issued to W. Benton Boone A Professional Corporation by the Centers for Medicare & Medicaid Services?
The W. Benton Boone A Professional Corporation has been assigned the NPI (National Provider Identifier) 1730114257. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where W. Benton Boone A Professional Corporation is physically located?
The W. Benton Boone A Professional Corporation is situated at the following address: 8616 La Tijera Blvd, Los Angeles, CA 900453944.
What is W. Benton Boone A Professional Corporation's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for W. Benton Boone A Professional Corporation is Specialist, and the taxonomy code that classifies this field of practice is 174400000X.
On what date did W. Benton Boone A Professional Corporation receive its 1730114257 assignment from the Centers for Medicare & Medicaid Services?
The W. Benton Boone A Professional Corporation was assigned its 1730114257 on 2006-07-12, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to W. Benton Boone A Professional Corporation most recently updated or revised?
The information pertaining to W. Benton Boone A Professional Corporation, including its address, specialty, and other relevant details, was last updated or revised on 2012-02-29.
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