Provider Demographics
NPI:1922331834
Name:RICHARD M BENOIT MD INC
Entity Type:Organization
Organization Name:RICHARD M BENOIT MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:M
Authorized Official - Last Name:BENOIT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:661-949-2229
Mailing Address - Street 1:1 S ORANGE GROVE BLVD
Mailing Address - Street 2:UNIT 4
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91105-1782
Mailing Address - Country:US
Mailing Address - Phone:661-949-2229
Mailing Address - Fax:661-949-2210
Practice Address - Street 1:44241 15TH ST W
Practice Address - Street 2:SUITE 205
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93534-4037
Practice Address - Country:US
Practice Address - Phone:661-949-2229
Practice Address - Fax:661-949-2210
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-09
Last Update Date:2009-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal MedicineGroup - Single Specialty