Ella Marie Suma Benoza in Sacramento - Specialist
Ella Marie Suma Benoza - NPI 1457392219
Ella Marie Suma Benoza is a Specialist in Sacramento, California. Ella Marie Suma Benoza practices all healthcare services and medical treatments related to Specialist. The NPI Number for Ella Marie Suma Benoza is 1457392219. The last update date is 2015-07-08.
Ella Marie Suma Benoza's current location address is 10470 Old Placerville Rd, Sacramento, California. You can contact this provider via phone number 8004700071. The mailing address for Ella Marie Suma Benoza is 10470 Old Placerville Rd, Sacramento, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ella Marie Suma Benoza |
|---|---|
| Address | 10470 Old Placerville Rd, Sacramento, California |
| Phone Number | 8004700071 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1457392219 |
|---|---|
| Provider Enumeration Date | 2006-06-10 |
| Last Updated Date | 2015-07-08 |
Provider Mailing Address Detail
| Address | 10470 Old Placerville Rd |
|---|---|
| City | Sacramento |
| State | California (CA) |
| Post Code | 958272539 |
| Phone Number | 8004700071 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | A65998 |
|
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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00A659982 | CA | -- |
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What is the Ella Marie Suma Benoza's unique identification number?
The Ella Marie Suma Benoza has been assigned the NPI (National Provider Identifier) Number 1457392219 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Ella Marie Suma Benoza?
The Ella Marie Suma Benoza is situated at 10470 Old Placerville Rd, in the city of Sacramento, state of CA, with the zip code 958272539.
What is the Ella Marie Suma Benoza's specialty and taxonomy code?
The Ella Marie Suma Benoza's specialty is Specialist, and the corresponding taxonomy code is 174400000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1457392219 to Ella Marie Suma Benoza?
The Ella Marie Suma Benoza received its 1457392219 assignment from the Centers for Medicare & Medicaid Services on 2006-06-10.
When was the information regarding Ella Marie Suma Benoza, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Ella Marie Suma Benoza, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2015-07-08.
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