Provider Demographics
NPI:1649439563
Name:BENKE, CHRISTEN MARIE (DO)
Entity type:Individual
Prefix:DR
First Name:CHRISTEN
Middle Name:MARIE
Last Name:BENKE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:12395 EL CAMINO REAL
Mailing Address - Street 2:SUITE 120
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92130-3083
Mailing Address - Country:US
Mailing Address - Phone:858-793-2727
Mailing Address - Fax:858-793-2650
Practice Address - Street 1:12395 EL CAMINO REAL
Practice Address - Street 2:SUITE 120
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92130-3083
Practice Address - Country:US
Practice Address - Phone:858-793-2727
Practice Address - Fax:858-793-2650
Is Sole Proprietor?:No
Enumeration Date:2008-06-05
Last Update Date:2008-12-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA2OA9693207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine