Provider Demographics
NPI:1679123202
Name:BENZION, MEREDITH ATLAS (LM)
Entity type:Individual
Prefix:
First Name:MEREDITH
Middle Name:ATLAS
Last Name:BENZION
Suffix:
Gender:F
Credentials:LM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23528 HERITAGE OAK CT
Mailing Address - Street 2:
Mailing Address - City:NEWHALL
Mailing Address - State:CA
Mailing Address - Zip Code:91321-3700
Mailing Address - Country:US
Mailing Address - Phone:661-388-1876
Mailing Address - Fax:
Practice Address - Street 1:23548 LYONS AVE STE B
Practice Address - Street 2:
Practice Address - City:NEWHALL
Practice Address - State:CA
Practice Address - Zip Code:91321-5782
Practice Address - Country:US
Practice Address - Phone:661-254-3000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-16
Last Update Date:2019-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA168176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife