Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Benjamin Fajardo

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1659941524

Benjamin Fajardo is a Student in an Organized Health Care Education/Training Program in Gardena, California. Registered with an NPI since 2021.

In the registry since
2021
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Practice location Address checks out

18726 S Western Ave Ste 408
Gardena, CA 90248-3858
Phone: (310) 856-0800
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Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1659941524
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 1, 2021
Last updated in NPPESAugust 25, 2022
Certification dateAugust 25, 2022
Mailing address18726 S Western Ave Ste 408, Gardena, CA 90248-3858

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