Llanes, Benjamin P.

Llanes, Benjamin P. is an sole proprietor health care provider with primary practice located at 9580 Black Mountain Rd Suite J, San Diego CA 92126-4522. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Llanes, Benjamin P. can be contacted via phone (858) 536-8952.

Contact Information

Primary practice address
9580 Black Mountain Rd Suite J San Diego CA 92126-4522
Phone: (858) 536-8952
Fax: (858) 536-8951
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 8782T California

Profile Details

NPI number 1053309005
LBN Legal business name Llanes, Benjamin P.
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 12th, 2005
Last updated Jul 8th, 2007 - about 19 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 1053309005 NPPES
California MEDICAID SD0087820

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