Port Medical Wellness, Inc.

NPI #1104077569 in Wilmington, California

Provider Information

NPI Number: 1104077569
Entity Type: Organization
Organization Name: Port Medical Wellness, Inc.
Primary Specialty: Orthopaedic Surgery
Enumeration Date: Oct 3, 2008
Last Updated: Oct 14, 2008

Practice Location

Address: 512 N AVALON BLVD
City: Wilmington
State: California
ZIP Code: 90744-5806
Phone: (310) 816-2943

Authorized Official

Name: DR. LAURENT RUBEN BENHAMOU, D.O.
Title: PARTNER
Phone: (310) 522-5811

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X
Acupuncturist	171100000X
General Practice	208D00000X
Orthopaedic Surgery	207X00000X	Primary

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