| Benevolence Industries Incorporated | |
|
3533 W. Pico Boulevard Los Angeles CA 90019 | |
| (323) 734-1600 | |
| (323) 734-1666 |
| Full Name | Benevolence Industries Incorporated |
|---|---|
| Speciality | Clinic/Center |
| Location | 3533 W. Pico Boulevard, Los Angeles, California |
| Authorized Official Name and Position | Kwabena Obeng (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 3108007963 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Benevolence Industries Incorporated 3533 W. Pico Boulevard Los Angeles CA 90019 Ph: (323) 734-1600 | Benevolence Industries Incorporated 3533 W. Pico Boulevard Los Angeles CA 90019 Ph: (323) 734-1600 |
| NPI Number | 1376761940 |
|---|---|
| Provider Enumeration Date | 04/21/2007 |
| Last Update Date | 11/19/2019 |
| Medicare PECOS PAC ID | 3870686611 |
|---|---|
| Medicare Enrollment ID | O20130520000146 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376761940 | NPI | - | NPPES |
| 1376761940 | Medicaid | CA |
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