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UNIVERSITE DU BENIN MEDICAL GROUP INC. NPI 1407988660


NPI Information

NPI: 1407988660
Provider Name: UNIVERSITE DU BENIN MEDICAL GROUP, INC.,

Doing Business As: UNIVERSITE DU BENIN MEDICAL GROUP, INC.

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
650 HOBSON WAY # 204
OXNARD, CA
ZIP 93030
Phone: (805) 486-9100
Get Directions

UNIVERSITE DU BENIN MEDICAL GROUP, INC., is a family medicine in Oxnard, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. UNIVERSITE DU BENIN MEDICAL GROUP, INC., NPI is 1407988660. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Universite Du Benin Medical Group, Inc..

The provider's business location address is:

650 HOBSON WAY # 204
OXNARD, CA
ZIP 93030-711
Phone: (805) 486-9100
Fax: (805) 486-7330

The provider's authorized official is Kiansi Boni .
The authorized official title is Owner and has the following contact phone number (805) 486-9100.

The enumeration date for this NPI number is 3/12/2007 and was last updated on 6/1/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207LP2900XAnesthesiologyPain MedicineA45536CALIFORNIANo
2208000000XPediatricsA45536CALIFORNIANo
3208VP0014XPain MedicineInterventional Pain MedicineA45536CALIFORNIANo
4207Q00000XFamily MedicineA45536CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G04251MEDICARE UPINCALIFORNIA
2W18880MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIAMEDICARE PROVIDER NUMBER
300A455360MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.