BENEVOLENCE INDUSTRIES INC. (NPI# 1831661529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831661529 |
| Entity Type | Organization |
| Organization Name | BENEVOLENCE INDUSTRIES INC. |
| Practice Address |
12610 Glenoaks Blvd Sylmar CA 91342-4783 |
| Mailing Address |
1010 Crenshaw Blvd Ste 100 Torrance CA 90501-2055 |
| Practice Telephone | 8183614111 |
| Practice Fax Number | 8183617584 |
| Mailing Telephone | 3106175651 |
| Mailing Fax Number | 4245588100 |
| Enumeration Date | 2018-12-19 |
| Last Update Date | 2018-12-19 |
| Authorized Official Name | KWABENA OBENG (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 3237341600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Benevolence Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194297895 | Benevolence Industries Inc. | Clinic/Center | 2065 W 6th St Ste 110, Los Angeles, CA 90057-3180 | 2018-12-19 |
| 1235553595 | Benevolence Industries Inc. | Clinic/Center | 934 Atlantic Ave, Long Beach, CA 90813-4515 | 2014-02-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | BENEVOLENCE INDUSTRIES INCORPORATED | 3533 W Pico Blvd, Los Angeles, CA 90019 |
| Street Address |
12610 GLENOAKS BLVD |
| City | SYLMAR |
| State | CA |
| Zip Code | 91342-4783 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427113463 | Mid City Associates Medical Group | Specialist | 12610 Glenoaks Blvd, Sylmar, CA 91342-4783 | 2006-12-27 |
| 1306333794 | Maria Blanchard | Nurse Practitioner | 12610 Glenoaks Blvd, Sylmar, CA 91342-4783 | 2018-04-20 |
| 1417353723 | Blessed Heart Home Care, Inc. | Home Health | 12610 Glenoaks Blvd, Unit 4b, Sylmar, CA 91342-4783 | 2014-11-13 |
| 1285908921 | Sylmar Hospice Care, Inc | Hospice Care, Community Based | 12610 Glenoaks Blvd, Suite 4, Sylmar, CA 91342-4783 | 2012-02-27 |
| 1063632925 | Vyniamin G Guralnik | Dentist | 12610 Glenoaks Blvd, Second Floor, Ste 1, Sylmar, CA 91342-4783 | 2007-04-26 |
| 1013072073 | Alvin Chin | Specialist | 12610 Glenoaks Blvd, Sylmar, CA 91342-4783 | 2006-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629687223 | Evelyn Pinto Morales | Technician, Other | 14445 Olive View Dr, Sylmar, CA 91342 | 2020-07-29 |
| 1528520988 | Yeun Lim | Student in an Organized Health Care Education/Training Program | 14445 Olive View Dr., Cottage H1, Attn D. Ray, Sylmar, CA 91342 | 2019-04-04 |
| 1467914317 | Sevak Hovagimyan | Pharmacist | 13677 Foothill Blvd #b, Sylmar, CA 91342 | 2019-04-01 |
| 1619455086 | Cameda Trichele Dickerson | Counselor | Phoenix House 116600 Eldridge, Lake View Terrace, CA 91342 | 2018-07-30 |
| 1407349624 | Joseph Sungkon Choi | Acupuncturist | 10274 Foothill Blvd, Sylmar, CA 91342 | 2018-06-12 |
| 1780194522 | Joe Anthony Cardenas | Specialist/Technologist | 15450 Roxford Street, Sylmar, CA 91342 | 2017-10-06 |
| 1336668466 | Juan Hernandez | Chiropractor | 13950 Foothill Blvd Apt 108, Sylmar, CA 91342 | 2017-09-09 |
| 1891213492 | Richard Ignacio Martinez | Nurse Practitioner | 14987 Oro Grande St., Sylmar, CA 91342 | 2017-09-03 |
| 1104349497 | Vanessa Gamboa | Social Worker | 13145 Bromont Ave., 14, Sylmar, CA 91342 | 2017-07-19 |
| 1982138368 | Christina Guest | Psychiatry & Neurology | Olive View Medical Center, 14445 Olive View Drive, Sylmar, CA 91342 | 2017-04-12 |
| Find all providers in zip 91342 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.