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Kenny Benjamin, MFT
Rehabilitation Practitioner in S Pasadena, California
NPI 1053510321

Kenny Benjamin is a Rehabilitation Practitioner based in Los Angeles, CA. Kenny Benjamin practices in S Pasadena, CA and has the professional credentials of MFT. The NPI Number for Kenny Benjamin is 1053510321 and holds a License No. (California).

The current practice location address for Kenny Benjamin is 1317 Huntington Dr, S Pasadena, CA and can be reached out via phone at 323-344-5541.

Location: 1317 Huntington Dr, S Pasadena, CA, 90066-6124
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053510321
Provider Name
Kenny Benjamin
Credential
MFT
Provider Entity Type
Individual
Gender
Male
Address
1317 Huntington Dr, S Pasadena, CA, 90066-6124
Phone Number
323-344-5541
Fax Number
Provider Enumeration Date
07/16/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7708 01 CA MEDI-CAL
7368 01 CA MEDI-CAL
7184 01 CA MEDI-CAL
7667 01 CA MEDI-CAL
institution
Provider Business Practice Location Address Details
Address
1317 Huntington Dr
City
S Pasadena
State
California
Zip
91030-4511
Phone Number
323-344-5541
Fax Number
person
Provider Business Mailing Address Details
Address
1317 Huntington Dr
City
S Pasadena
State
California
Zip
91030-4511
Phone Number
323-344-5541
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Rehabilitation Practitioner
Speciality
-
Taxonomy
225400000X
License No.
()
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
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