Edgar Benitez, NP | |
9032 Seal Beach Dr, Hesperia, CA 92344-5507 | |
(909) 615-6156 | |
Not Available |
Full Name | Edgar Benitez |
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Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 9032 Seal Beach Dr, Hesperia, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184391112 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 95018006 (California) | Primary |
Entity Name | Molina Healthcare Of California |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194811760 PECOS PAC ID: 7517957608 Enrollment ID: O20061101000348 |
Mailing Address | Practice Location Address |
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Edgar Benitez, NP 9032 Seal Beach Dr, Hesperia, CA 92344-5507 Ph: (909) 615-6156 | Edgar Benitez, NP 9032 Seal Beach Dr, Hesperia, CA 92344-5507 Ph: (909) 615-6156 |
Lauretta Karolczak, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15398 Main St, Hesperia, CA 92345 Phone: 760-947-8231 | |
Halima Zainab, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15791 Bear Valley Rd, Hesperia, CA 92345 Phone: 760-949-1231 Fax: 877-738-3841 | |
Richard D. Norton, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16455 Main St Ste 1, Hesperia, CA 92345 Phone: 760-947-2161 Fax: 760-947-3673 | |
Albert Lamont Springer, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16455 Main Street, Suite 1, Hesperia, CA 92345 Phone: 760-947-2161 Fax: 760-947-3673 | |
Irina M Jovel, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16455 Main St, Hesperia, CA 92345 Phone: 760-947-2161 Fax: 760-947-3673 | |
Maria Tuya, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15398 Main St Ste B, Hesperia, CA 92345 Phone: 760-949-4118 Fax: 760-949-0987 |