Benjamin Moshe Latham-bryman, is a
Student In An Organized Health Care Education/training Program based in San Leandro, California. Benjamin Moshe Latham-bryman is licensed to practice in California (license number 100941) and his current practice location is
2275 Arlington Dr, San Leandro, California. He can be reached at his office (for appointments etc.) via phone at
(510) 317-1444.
NPI number for Benjamin Moshe Latham-bryman is 1336669522 and his current mailing address is 2275 Arlington Dr, San Leandro, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1336669522.
Healthcare Provider's Profile
| Full Name | Benjamin Moshe Latham-bryman |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 2275 Arlington Dr, San Leandro, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1336669522
- Provider Enumeration Date: 06/20/2017
- Last Update Date: 07/21/2022
Medical Identifiers
Medical identifiers for Benjamin Moshe Latham-bryman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336669522 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 106H00000X | Marriage & Family Therapist | 100941 (California) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | 100941 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Benjamin Moshe Latham-bryman is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Benjamin Moshe Latham-bryman,
2275 Arlington Dr,
San Leandro, CA 94578-1132
Ph: (510) 317-1444 | Benjamin Moshe Latham-bryman,
2275 Arlington Dr,
San Leandro, CA 94578-1132
Ph: (510) 317-1444 |
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