Dr MICHAEL A BENAVIDEZ MD is a male medical professional, specializing in Family Medicine. He graduated in 1992 from College Of Osteo Of The Pacific.
984 W FOOTHILL BLVD
UPLAND
CA
917863700
Tel:
| Npi | 1205987914 |
| Pac Id | 8527058759 |
| Professional Enrollment Id | I20040521001214 |
| Last Name | BENAVIDEZ |
| First Name | MICHAEL |
| Middle Name | A |
| Suffix | |
| Gender | M |
| Credential | MD |
| Medical School Name | COLLEGE OF OSTEO OF THE PACIFIC |
| Graduation Year | 1992 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialty 1 | OSTEOPATHIC MANIPULATIVE MEDICINE |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | OSTEOPATHIC MANIPULATIVE MEDICINE |
| Organization Legal Name | |
| Group Practice Pac Id | |
| Number Of Group Practice Members | |
| Line 1 Street Address | 984 W FOOTHILL BLVD |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | UPLAND |
| State | CA |
| Zip Code | 917863700 |
| Phone Number | |
| Hospital Affiliation Ccn 1 | 050099 |
| Hospital Affiliation Lbn 1 | SAN ANTONIO REGIONAL HOSPITAL |
| Hospital Affiliation Ccn 2 | 050231 |
| Hospital Affiliation Lbn 2 | POMONA VALLEY HOSPITAL MEDICAL CENTER |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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