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Elizabeth Isabella Benitez

Pediatrics in Rancho Cucamonga, CA. Individual provider (NPI-1).

NPI number1124900550
StatusActive
Last updated in NPPESJul 25, 2025

Details

NPI
1124900550
Entity type
Individual (NPI-1)
Name
Elizabeth Isabella Benitez
Sex
Female
Sole proprietor
No
Enumeration date
Jul 25, 2025
Certification date
Jul 25, 2025
Last updated
Jul 25, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208000000X Pediatrics1598748410CAYes
122300000X Dentist8860CA

Practice location

11799 Sebastian Way
Rancho Cucamonga, CA 91730-0708

Phone 909-353-7547

Mailing address

5696 Sharon Way
Riverside, CA 92509-5542

Phone 909-530-7063

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