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Benjamin Alexander Sebreros

General Practice

Allopathic & Osteopathic Physicians

34800 Bob Wilson Dr Ste 300, San Diego, CA 92134-0001

PECOS Enrollment

This provider is enrolled in PECOS as BENJAMIN SEBREROS.

Based on the most recent information from CMS, provider Benjamin Alexander Sebreros is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1902393176
Provider Type
Individual
Full Name
Sebreros, Benjamin Alexander
Credential
DO

Gender
Male
Sole Proprietor
No
Enumeration Date
4/13/2018
Last Updated
6/29/2024

Contact Information

Practice Location

34800 Bob Wilson Dr Ste 300, San Diego, CA 92134-0001

(619) 643-5914

Unlisted Fax

Mailing Location

34800 Bob Wilson Dr Ste 300, San Diego, CA 92134-1300

(619) 643-5914

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 208D00000X Primary	Description General Practice Allopathic & Osteopathic Physicians	License 2062 Nebraska

Benjamin Alexander Sebreros

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Mostofian, Eimaneh

Moy, Jeffrey

Eonta, Stephanie

Dukate, Loren Robert

Roberts, Scott James

Fox, Thomas Patrick

Jahnz, Stephanie Eva

Lauchnor, Anna

Kiernan, Patrick Thomas

Lu, Amanda