Provider Demographics
NPI:1609044627
Name:BENITEZ, RUTH L (RN)
Entity Type:Individual
Prefix:
First Name:RUTH
Middle Name:L
Last Name:BENITEZ
Suffix:
Gender:F
Credentials:RN
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Mailing Address - Street 1:6795 SORRENTO RD
Mailing Address - Street 2:
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91701-8547
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1828 CESAR CHAVEZ AVE
Practice Address - Street 2:SUITE B-218
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90033-2400
Practice Address - Country:US
Practice Address - Phone:323-263-9150
Practice Address - Fax:323-263-3499
Is Sole Proprietor?:No
Enumeration Date:2008-02-12
Last Update Date:2008-02-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA424161163WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0200XNursing Service ProvidersRegistered NursePediatrics