W. BENTON BOONE A PROFESSIONAL CORPORATION is a specialist in Los Angeles, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. W. BENTON BOONE A PROFESSIONAL CORPORATION NPI is 1730114257. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
8616 LA TIJERA BLVD
SUITE 102
LOS ANGELES, CA
ZIP 90045-944
Phone: (310) 673-2020
Fax: (310) 649-5290
The provider's authorized official is Willie Benton Boone .
The authorized official title is President and has the following contact phone number (310) 673-2020.
The enumeration date for this NPI number is 7/12/2006 and was last updated on 2/29/2012.