Search › California › 171M00000X
Bennett Agubata
NPI 1336861038 · on the registry since 2022
Practice
- Address
- 5425 Sierra Vista Ave
Riverside, CA 92505 - Phone
- (951) 299-7545
- Organisation at this address
- Harvest Safe Haven For Boys
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 9
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-02-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California