institution
W. Benton Boone A Professional Corporation
Specialist in Los Angeles, California
NPI 1730114257

W. Benton Boone A Professional Corporation is a Specialist based in Los Angeles, CA. W. Benton Boone A Professional Corporation practices in Los Angeles, CA. The NPI Number for W. Benton Boone A Professional Corporation is 1730114257 and holds a License No. G13745 (California).

The current practice location address for W. Benton Boone A Professional Corporation is 8616 La Tijera Blvd, Los Angeles, CA and can be reached out via phone at 310-673-2020 and via fax at 310-649-5290.

Location: 8616 La Tijera Blvd, Los Angeles, CA, 90045-3944
institution
Provider Profile Details
NPI Number
1730114257
Provider Name
W. Benton Boone A Professional Corporation
Credential
Provider Entity Type
Organization
Address
8616 La Tijera Blvd, Los Angeles, CA, 90045-3944
Phone Number
310-673-2020
Fax Number
310-649-5290
Provider Enumeration Date
07/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00G137450 05 CA
G13745 01 CA LICENSE
W21977 01 CA GROUP PTAN
institution
Provider Business Practice Location Address Details
Address
8616 La Tijera Blvd
City
State
Zip
90045-3944
Phone Number
310-673-2020
Fax Number
310-649-5290
person
Provider Business Mailing Address Details
Address
8616 La Tijera Blvd
City
State
Zip
90045-3944
Phone Number
310-673-2020
Fax Number
310-649-5290
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
G13745 (California)
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.
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