Provider Demographics
NPI:1790344075
Name:BENNY T PRODUCTIONS, LLC
Entity Type:Organization
Organization Name:BENNY T PRODUCTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:TEHRANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-310-5260
Mailing Address - Street 1:2514 S CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90011-1635
Mailing Address - Country:US
Mailing Address - Phone:323-843-3668
Mailing Address - Fax:323-978-5903
Practice Address - Street 1:2514 S CENTRAL AVE STE 1
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90011-1635
Practice Address - Country:US
Practice Address - Phone:323-843-3668
Practice Address - Fax:323-978-5903
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-10
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty