BENJAMIN WALTER VAN MD NPI 1629710033

NPI Information

Benjamin Walter Van, MD is a student in an organized health care education training program in Los Angeles, CA. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Benjamin Walter Van, MD NPI is 1629710033. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1200 N STATE ST # GH3900
LOS ANGELES, CA
ZIP 90089-001
Phone: (408) 425-5550

The enumeration date for this NPI number is 4/7/2022 and was last updated on 3/18/2024.

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:

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