Kenny Benjamin in S Pasadena - Rehabilitation Practitioner
Kenny Benjamin - NPI 1053510321
Kenny Benjamin is a Rehabilitation Practitioner in S Pasadena, California. Kenny Benjamin practices all healthcare services and medical treatments related to Rehabilitation Practitioner. The NPI Number for Kenny Benjamin is 1053510321. The last update date is 2009-01-23.
Kenny Benjamin's current location address is 1317 Huntington Dr, S Pasadena, California. You can contact this provider via phone number 3233445541. The mailing address for Kenny Benjamin is 1317 Huntington Dr, S Pasadena, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenny Benjamin |
|---|---|
| Address | 1317 Huntington Dr, S Pasadena, California |
| Phone Number | 3233445541 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MFT |
NPI Number Detail
| NPI Number | 1053510321 |
|---|---|
| Provider Enumeration Date | 2007-07-16 |
| Last Updated Date | 2009-01-23 |
Provider Mailing Address Detail
| Address | 1317 Huntington Dr |
|---|---|
| City | S Pasadena |
| State | California (CA) |
| Post Code | 910304511 |
| Phone Number | 3233445541 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Rehabilitation Practitioner |
|---|---|
| Taxonomy | 225400000X |
|
Definition: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7708 | CA | MEDI-CAL | |
| 7368 | CA | MEDI-CAL | |
| 7184 | CA | MEDI-CAL | |
| 7667 | CA | MEDI-CAL |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Kenny Benjamin by the Centers for Medicare & Medicaid Services?
The Kenny Benjamin has been assigned the NPI (National Provider Identifier) 1053510321 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Kenny Benjamin?
The Kenny Benjamin is situated at 1317 Huntington Dr, in the city of S Pasadena, state of CA, with the zip code 910304511.
What is Kenny Benjamin's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Kenny Benjamin is Rehabilitation Practitioner, and the taxonomy code that classifies this field of practice is 225400000X.
On what date was the 1053510321 assigned to Kenny Benjamin?
The Kenny Benjamin was issued its 1053510321 on 2007-07-16, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Kenny Benjamin's details last updated?
The information pertaining to the Kenny Benjamin, including its address, specialty, and other details, was most recently updated on 2009-01-23.