Provider Demographics
NPI:1760428577
Name:BENZEEVI, YORAI S (MD)
Entity Type:Individual
Prefix:DR
First Name:YORAI
Middle Name:S
Last Name:BENZEEVI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:BENNY
Other - Middle Name:
Other - Last Name:BENZEEVI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 662110
Mailing Address - Street 2:
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91066-2110
Mailing Address - Country:US
Mailing Address - Phone:626-447-0296
Mailing Address - Fax:626-447-6057
Practice Address - Street 1:301 E 13TH ST
Practice Address - Street 2:
Practice Address - City:MERCED
Practice Address - State:CA
Practice Address - Zip Code:95340-6211
Practice Address - Country:US
Practice Address - Phone:209-385-7111
Practice Address - Fax:209-385-7066
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-21
Last Update Date:2023-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA76975207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A769750Medicaid
CA00A769754Medicare PIN
CAH55711Medicare UPIN
CA00A769753Medicare PIN