Individual provider · Type 1 NPI

Benjamin Ray Mock

Student in an Organized Health Care Education/Training Program · Antioch, CA

NPI number 1275211443 Active

Practice location

4501 Sand Creek Rd
Antioch, CA 94531-8687

Call (925) 813-6500 Map

Mailing address

175 Starview Ct
Brentwood, CA 94513-2937

Other practice locations

  • 1425 S Main St, Walnut Creek, CA 94596-5318 · (925) 295-4000

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1275211443

Benjamin Ray Mock's National Provider Identifier is 1275211443, issued on Jul 7, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Antioch, CA. The record was last updated on Jul 7, 2023.