Willie Benton Boone in Rancho Palos Verdes - Ophthalmology
Willie Benton Boone - NPI 1942236542
Willie Benton Boone is a Ophthalmology in Rancho Palos Verdes, California. Willie Benton Boone practices all healthcare services and medical treatments related to Ophthalmology. The NPI Number for Willie Benton Boone is 1942236542. The last update date is 2013-05-17.
Willie Benton Boone's current location address is 25 Tramonto Dr, Rancho Palos Verdes, California. You can contact this provider via phone number 3102659313 and fax number 3102658434. The mailing address for Willie Benton Boone is 25 Tramonto Dr, Rancho Palos Verdes, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Willie Benton Boone |
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Address | 25 Tramonto Dr, Rancho Palos Verdes, California |
Phone Number | 3102659313 |
Fax Number | 3102658434 |
Sole Proprietor | Y |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1942236542 |
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Provider Enumeration Date | 2006-06-24 |
Last Updated Date | 2013-05-17 |
Provider Mailing Address Detail
Address | 25 Tramonto Dr |
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City | Rancho Palos Verdes |
State | California (CA) |
Post Code | 902755387 |
Phone Number | 3102659313 |
Fax Number | 3102658434 |
Provider's Primary Taxonomy Detail
Speciality | Ophthalmology |
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Taxonomy | 207W00000X |
Licence No | G13745 |
Definition: An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This incl |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
WG13745C | CA | INDIVIDUAL PROVIDER TRANSACTIO | |
00G137450 | CA | -- | |
G13745 | CA | CA LICENSE |
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What is the unique 10-digit identifier code issued to Willie Benton Boone by the Centers for Medicare & Medicaid Services?
The Willie Benton Boone has been assigned the NPI (National Provider Identifier) 1942236542 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Willie Benton Boone's facilities are geographically located?
The facilities of Willie Benton Boone are physically situated at the following location: 25 Tramonto Dr, Rancho Palos Verdes, CA, 902755387.
What is Willie Benton Boone's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Willie Benton Boone is Ophthalmology, and the taxonomy code that categorizes this field of expertise is 207W00000X.
On what date did the Willie Benton Boone receive the assignment of its 1942236542 from the Centers for Medicare & Medicaid Services?
The Willie Benton Boone was issued its 1942236542 by the Centers for Medicare & Medicaid Services on 2006-06-24.
When was the information regarding Willie Benton Boone most recently updated?
The details pertaining to the Willie Benton Boone, including its address, specialty, and other relevant information, were last refreshed on 2013-05-17.