ROBERT BENITEZ JR. (NPI# 1023562097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023562097 |
| Entity Type | Individual |
| Full Name | ROBERT BENITEZ JR. |
| Practice Address |
5567 Reseda Blvd Ste 107 Tarzana CA 91356-2648 |
| Mailing Address |
14917 Valeda Dr La Mirada CA 90638-2208 |
| Practice Telephone | 8189682337 |
| Practice Fax Number | 8185911346 |
| Mailing Telephone | 5626654471 |
| Enumeration Date | 2016-08-08 |
| Last Update Date | 2016-08-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2355S0801X |
Specialist/Technologist Specialization: Speech-Language Assistant |
3560 | CA | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720036460 | Robert Michael Benitez | Internal Medicine | 22 S Greene St, Baltimore, MD 21201-1544 | 2006-05-05 |
| Street Address |
5567 RESEDA BLVD STE 107 |
| City | TARZANA |
| State | CA |
| Zip Code | 91356-2648 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548415581 | Christie Nicole Sforzini | Speech-Language Pathologist | 5567 Reseda Blvd Ste 107, Tarzana, CA 91356-2648 | 2008-11-18 |
| 1003447996 | Tamara M Vandenbroucke | Specialist/Technologist | 5567 Reseda Blvd Ste 107, Tarzana, CA 91356-2648 | 2020-01-29 |
| 1083268817 | Christina Louise Harold | Specialist/Technologist | 5567 Reseda Blvd Ste 107, Tarzana, CA 91356-2648 | 2019-07-30 |
| 1205490109 | Sean Alan Wyner | Speech-Language Pathologist | 5567 Reseda Blvd Ste 107, Tarzana, CA 91356-2648 | 2019-04-25 |
| 1770049736 | Natalie Meg Sumian | Specialist/Technologist | 5567 Reseda Blvd Ste 107, Tarzana, CA 91356-2648 | 2019-02-14 |
| 1447732201 | Katarina Dahlin | Speech-Language Pathologist | 5567 Reseda Blvd Ste 107, Tarzana, CA 91356-2648 | 2018-08-29 |
| 1316433584 | Kathleen Lao | Specialist/Technologist | 5567 Reseda Blvd Ste 107, Tarzana, CA 91356-2648 | 2018-07-10 |
| 1770079360 | Mellisa Suazo | Specialist/Technologist | 5567 Reseda Blvd Ste 107, Tarzana, CA 91356-2648 | 2018-07-06 |
| 1326531963 | Kelly Brown | Speech-Language Pathologist | 5567 Reseda Blvd Ste 107, Tarzana, CA 91356-2648 | 2018-06-08 |
| 1619475498 | Shirin Monica Azadeh | Community/Behavioral Health | 5567 Reseda Blvd Ste 107, Tarzana, CA 91356-2648 | 2018-01-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679137293 | Sarah Badreau | Behavior Technician | 5554 Reseda Blv., Tarzana, CA 91356 | 2019-04-29 |
| 1831661966 | Daraie Dental Group Inc | Dentist | 5620 Wilbur Avenue Ste 300, Tarzana, CA 91356 | 2018-12-31 |
| 1982182770 | Blanca Garay | Respiratory Therapist, Registered | 18214 Burbank Blvd Apt 120, Tarzana, CA 91356 | 2018-08-02 |
| 1437659000 | Chloe Kang | Speech-Language Pathologist | 19019 Ventura Blvd., Tarzana, CA 91356 | 2018-02-20 |
| 1114430139 | Avb & Lv Corporation | Home Health | 18340 Ventura Blvd Ste 220, Tarzana, CA 91356 | 2017-11-13 |
| 1881110468 | Samina Qadir | Registered Nurse | 18321 Clark St., Tarzana, CA 91356 | 2017-08-16 |
| 1700306776 | Debbie Rehman Lux | Marriage & Family Therapist | 18370 Burbank Blvd., Suite 211, Tarzana, CA 91356 | 2017-06-21 |
| 1467980631 | Valley Nerological Services, LLC | Radiology | 5260 Wilbur Ave Ste 207, Tarzana, CA 91356 | 2017-05-31 |
| 1669906020 | Evolve Growth Initiatives LLC | Clinic/Center | 5435 Aura Avenue, Tarzana, CA 91356 | 2017-04-12 |
| 1780130088 | Evolve Growth Initiatives, LLC | Clinic/Center | 5358 Vanalden Drive, Tarzana, CA 91356 | 2016-08-28 |
| Find all providers in zip 91356 | ||||
| Taxonomy Code | 2355S0801X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Speech-Language Assistant |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003447996 | Tamara M Vandenbroucke | Specialist/Technologist | 5567 Reseda Blvd Ste 107, Tarzana, CA 91356-2648 | 2020-01-29 |
| 1790323343 | Galit Elizabeth Royker | Specialist/Technologist | 19100 Ventura Blvd, Tarzana, CA 91356-3239 | 2019-12-13 |
| 1720632318 | Agnes Patton | Specialist/Technologist | 5567 Reseda Blvd, Tarzana, CA 91356-2674 | 2019-07-31 |
| 1083268817 | Christina Louise Harold | Specialist/Technologist | 5567 Reseda Blvd Ste 107, Tarzana, CA 91356-2648 | 2019-07-30 |
| 1770049736 | Natalie Meg Sumian | Specialist/Technologist | 5567 Reseda Blvd Ste 107, Tarzana, CA 91356-2648 | 2019-02-14 |
| 1699253963 | Mary Ellen Casner | Specialist/Technologist | 19019 Ventura Blvd, Tarzana, CA 91356-3253 | 2018-07-30 |
| 1316433584 | Kathleen Lao | Specialist/Technologist | 5567 Reseda Blvd Ste 107, Tarzana, CA 91356-2648 | 2018-07-10 |
| 1770079360 | Mellisa Suazo | Specialist/Technologist | 5567 Reseda Blvd Ste 107, Tarzana, CA 91356-2648 | 2018-07-06 |
| 1356872998 | Alexis Kusnier | Specialist/Technologist | 5567 Reseda Blvd, Suite 107, Tarzana, CA 91356-2674 | 2017-03-24 |
| 1457805228 | Kathryn Moulton | Specialist/Technologist | 5567 Reseda Blvd, Tarzana, CA 91356-2674 | 2016-08-10 |
| Find all providers in TARZANA | ||||
Please comment or provide details below to improve the information on ROBERT BENITEZ JR..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.