| Benson Family Medical Group Inc | |
|
41555 Cook St Ste 130 Palm Desert CA 92211 | |
| (760) 340-2682 | |
| (760) 773-9695 |
| Full Name | Benson Family Medical Group Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 41555 Cook St, Palm Desert, California |
| Authorized Official Name and Position | Aurora L Benson (PRESIDENT) |
| Authorized Official Contact | 7603402682 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Benson Family Medical Group Inc 41555 Cook St Ste 130 Palm Desert CA 92211 Ph: (760) 340-2682 | Benson Family Medical Group Inc 41555 Cook St Ste 130 Palm Desert CA 92211 Ph: (760) 340-2682 |
| NPI Number | 1174577613 |
|---|---|
| Provider Enumeration Date | 05/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174577613 | NPI | - | NPPES |
| GR0069290 | Medicaid | CA | |
| 00AX45640 | Medicaid | CA | |
| 00AX53610 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 20A5361 (California) | Secondary |
| 207Q00000X | Family Medicine | 20A4564 (California) | Primary |
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