Provider Demographics
NPI:1679341093
Name:BENOIT, RIKAYAH KAAMIL
Entity Type:Individual
Prefix:
First Name:RIKAYAH
Middle Name:KAAMIL
Last Name:BENOIT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3006 S VERMONT AVE # 620
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90007-3032
Mailing Address - Country:US
Mailing Address - Phone:213-444-9366
Mailing Address - Fax:
Practice Address - Street 1:1201 W 48TH ST
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90037-2838
Practice Address - Country:US
Practice Address - Phone:213-444-9366
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-14
Last Update Date:2024-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty