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Contact Information

STANISLAVA M BENESOVSKY, RN, NP
212 AVENUE F
REDONDO BEACH, CA90277-5008
 Phone: 310-755-4665
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Medical-Surgical

163WM0705X
Indicates primary specialty

NPI Profile & details for STANISLAVA M BENESOVSKY · (Female)

NPI Number 1346963303
Status Active
Credentials RN, NP
Entity Individual
Enumeration date 09/23/2022
Last updated 08/01/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 95023075
  • CA License # 95066198
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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