Individual provider · Type 1 NPI
Benjamin Antonio Iraheta
Surgical Physician Assistant · Pomona, CA
NPI number
1194647958
Active
Practice location
751 Laredo Ave
Pomona, CA 91768-1530
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | None listed |
Surgical Physician Assistant: Definition to come...
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About NPI 1194647958
Benjamin Antonio Iraheta's National Provider Identifier is 1194647958, issued on Jul 27, 2026. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Pomona, CA. The record was last updated on Jul 27, 2026.