| Doctor Name: | RAYNA BENSON |
| NPI Number: | 1548618994 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LAC |
| License Number: | AC 16686 |
| Business Practice Address: | 4406 Park Blvd San Diego, CA - 921164047 |
| Business Phone Number: | 6197268962 |
| Business Fax Number: | |
| Mailing Address: | 6974 Sun St, SAN DIEGO |
| State: | CA |
| Postal Code: | 921115610 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 05/26/2016 |
| NPI Last Update Date: | 05/26/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | AC 16686 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |