Most Relevant Information
Provider Data
| NPI Number: | 1003362781 |
| Provider Name: | DIANA BENITEZ WHNP, CNM |
| Entity Type: | Individual |
| Taxonomy Code: | 363LW0102X |
| Specialty: | Nurse Practitioner |
| License Number: | 95003887 |
Most Important Dates
| Enumeration Date: | 08/31/2016 |
| Last Updated: | 08/31/2016 |
Provider Practice Location
400 W 30TH ST
LOS ANGELES
CA
900073320
Practice Location Phone/Fax
| Phone: | 2132843200 |
| Fax: |
Provider Mailing Location
400 W 30TH ST
LOS ANGELES
CA
900073320
Provider Mailing Phone/Fax
| Phone: | 2132843200 |
| Fax: |