Provider Demographics
NPI:1023844164
Name:BENJAMIN RAFII, M.D., P.C.
Entity type:Organization
Organization Name:BENJAMIN RAFII, M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:RAFII
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:323-433-7744
Mailing Address - Street 1:5757 WILSHIRE BLVD STE PR6
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90036-3689
Mailing Address - Country:US
Mailing Address - Phone:323-433-7744
Mailing Address - Fax:323-433-7716
Practice Address - Street 1:5757 WILSHIRE BLVD STE 6
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90036-5810
Practice Address - Country:US
Practice Address - Phone:310-614-5994
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-13
Last Update Date:2024-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty