DOMINIQUE BENAVIDEZ

Dr DOMINIQUE BENAVIDEZ is a female medical professional, specializing in Psychologist, Clinical. She graduated in 2005.

Contact

25550 HAWTHORNE BLVD
SUITE 210
TORRANCE
CA
905056832

Tel: 3103730800

DOMINIQUE BENAVIDEZ Information

Npi 1740309525
Pac Id 4981756038
Professional Enrollment Id I20090721000187
Last Name BENAVIDEZ
First Name DOMINIQUE
Middle Name
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2005
Primary Specialty PSYCHOLOGIST, CLINICAL
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
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Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 25550 HAWTHORNE BLVD
Line 2 Street Address SUITE 210
Marker Of Address Line 2 Suppression
City TORRANCE
State CA
Zip Code 905056832
Phone Number 3103730800
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
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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