Luke L. Benoit in Costa Mesa - Specialist

Luke L. Benoit - NPI 1104094697

Luke L. Benoit is a Specialist in Costa Mesa, California. Luke L. Benoit practices all healthcare services and medical treatments related to Specialist. The NPI Number for Luke L. Benoit is 1104094697. The last update date is 2008-02-18.

Luke L. Benoit's current location address is 1901 Newport Blvd., Costa Mesa, California. You can contact this provider via phone number 5626183099 and fax number 9499992099. The mailing address for Luke L. Benoit is 1901 Newport Blvd., Costa Mesa, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Luke L. Benoit
Address 1901 Newport Blvd., Costa Mesa, California
Phone Number 5626183099
Fax Number 9499992099
Sole Proprietor Y
Credentials MFT

NPI Number Detail

NPI Number 1104094697
Provider Enumeration Date 2008-02-18
Last Updated Date 2008-02-18

Provider Mailing Address Detail

Address 1901 Newport Blvd.
City Costa Mesa
State California (CA)
Post Code 92627
Phone Number 5626183099
Fax Number 9499992099

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No CA MFC 40671
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
11699512 CA CAQH

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FAQs about Luke L. Benoit

What is the unique identifier code issued to Luke L. Benoit by the Centers for Medicare & Medicaid Services?

The Luke L. Benoit has been assigned the NPI (National Provider Identifier) 1104094697. 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 Luke L. Benoit is physically located?

The Luke L. Benoit is situated at the following address: 1901 Newport Blvd., Costa Mesa, CA 92627.

What is Luke L. Benoit's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Luke L. Benoit's specialized field of practice is Specialist, and the corresponding taxonomy code that categorizes this area of specialization is 174400000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1104094697 to Luke L. Benoit?

The Centers for Medicare & Medicaid Services originally issued the 1104094697 to Luke L. Benoit on 2008-02-18.

When was the Luke L. Benoit's information last updated?

The Luke L. Benoit's information was last updated on 2008-02-18.

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