RICHARD ANTHONY BENAVIDEZ

COLTON, CA
NPI1013445691
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  PA54879)
Enumeration Date2017-05-26
Last Update Date2023-09-09
Business Address
RICHARD ANTHONY BENAVIDEZ PA
400 N PEPPER AVE
COLTON, CA 92324-1801
Phone number: 909-580-1000
Mailing Address
RICHARD ANTHONY BENAVIDEZ PA
1 COUNTRY WOOD DR
POMONA, CA 91766-4819
Phone number: 816-835-1048