person
Benjamin Walter Van, MD
Student in an Organized Health Care Education/Training Program in Los Angeles, California
NPI 1629710033

Benjamin Walter Van is a Student in an Organized Health Care Education/Training Program based in Los Angeles, CA. Benjamin Walter Van practices in Los Angeles, CA and has the professional credentials of MD. The NPI Number for Benjamin Walter Van is 1629710033 and holds a License No. (California).

The current practice location address for Benjamin Walter Van is 1200 N State St # Gh3900, Los Angeles, CA and can be reached out via phone at 408-425-5550.

Location: 1200 N State St # Gh3900, Los Angeles, CA, 90089-1001
person
Provider Profile Details
NPI Number
1629710033
Provider Name
Benjamin Walter Van
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1200 N State St # Gh3900, Los Angeles, CA, 90089-1001
Phone Number
408-425-5550
Fax Number
Provider Enumeration Date
04/07/2022
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
1200 N State St # Gh3900
City
State
Zip
90089-1001
Phone Number
408-425-5550
Fax Number
person
Provider Business Mailing Address Details
Address
1200 N State St # Gh3900
City
State
Zip
90089-1001
Phone Number
408-425-5550
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
(California)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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