Provider Demographics
NPI:1265392500
Name:PANIAN, BENIDA MONIQUE (NP)
Entity type:Individual
Prefix:
First Name:BENIDA
Middle Name:MONIQUE
Last Name:PANIAN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:MONIQUE
Other - Middle Name:
Other - Last Name:NISHAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:NP
Mailing Address - Street 1:4653 CARMEL MOUNTAIN RD STE 308
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92130-6650
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4653 CARMEL MOUNTAIN RD STE 308
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92130-6650
Practice Address - Country:US
Practice Address - Phone:626-257-4404
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-11-17
Last Update Date:2025-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty