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Contact Information

EVAGRIO P BENCITO, NP
1000 W CARSON ST
CARSON, CA90810-1408
 Phone: 310-222-3528
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acute Care

364SA2100X 89 Certified Clinical Nurse Specialist
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for EVAGRIO P BENCITO · (Male)

NPI # 1992965891
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 06/13/2008
Last updated 06/13/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 17801
  • CA License # 565369
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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