Davis, Benjamin Ray

Davis, Benjamin Ray is an individual health care provider with primary practice located at 1010 W La Veta Ave Ste 750 , Orange CA 92868-4312. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Davis, Benjamin Ray can be contacted via phone (714) 639-9401.

Contact Information

Primary practice address
1010 W La Veta Ave Ste 750 Orange CA 92868-4312
Phone: (714) 639-9401
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 52963 California

Profile Details

NPI number 1609247477
LBN Legal business name Davis, Benjamin Ray
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2015
Last updated Jul 21st, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609247477 NPPES
California Other GRP. NPI: 1912919804 MEDI-CAL
California Other 1912919804 MEDI-CAL
California Other 52963 MEDI-CAL

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