Search › California › 103TM1800X
Dominique Benavidez, PH.D
NPI 1740309525 · on the registry since 2007 · sole proprietor
Practice
- Address
- 335 Redondo Ave
Long Beach, CA 90814 - Phone
- (562) 434-3030
- Fax
- (562) 434-3212
- Organisation at this address
- Branko Radisavljevic M.D. Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 8
Additional practice sites
- 335 Redondo Ave, Long Beach, CA
Registry record
- Primary taxonomy
- 103TM1800X
103TM1800X
- Also registered as
- 103TA0700X
103TB0200X
103TC0700X
103TC2200X - Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-06-27
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