| NPI | 1407988660 |
|---|---|
| Doing Business As | UNIVERSITE DU BENIN MEDICAL GROUP, INC. |
| Entity Type | Organization |
| Authorized Contact | KIANSI BONI Owner 805-486-9100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A45536) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA A45536) |
| 208000000X Pediatrics (Licence: CA A45536) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: CA A45536) | |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2010-06-01 |