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CODI BENOLOGA LICENSED CLINICAL SOCIAL WORKER INC
NPI 1578148805
Clinic/Center in Long Beach, CA

Active since March 18, 2021
4195 N VIKING WAY STE 333, LONG BEACH, CA 90808(562) 568-9005 Get Directions Write a Review

NPPES record last updated: March 18, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Codi Benologa Licensed Clinical Social Worker Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CODI BENOLOGA LICENSED CLINICAL SOCIAL WORKER INC (NPI 1578148805) is a healthcare organization registered as a clinic/center in Long Beach, California and active in the NPI registry since March 2021. The organization lists Codi Jo Benologa, Owner/director, as its authorized official.

NPPES Registry Identity

NPI1578148805
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameCODI BENOLOGA LICENSED CLINICAL SOCIAL WORKER INC
Location Address4195 N VIKING WAY STE 333Long Beach, CA 90808-1466
Mailing Address4195 N Viking Way Ste 333Long Beach, CA 90808-1466 · (562) 568-9005
Phone(562) 568-9005
Organization SubpartNo
Authorized OfficialCodi Jo BenologaOwner/director · (480) 221-4972
Enumeration DateMarch 18, 2021
NPPES CertifiedMarch 18, 2021
✔ NPI 1578148805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
4195 N VIKING WAY STE 333, Long Beach, CA 90808
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Codi Benologa Licensed Clinical Social Worker Inc's NPI number?

The NPI number for Codi Benologa Licensed Clinical Social Worker Inc is 1578148805. It was assigned to this organization in the NPPES registry on March 18, 2021.

Where is Codi Benologa Licensed Clinical Social Worker Inc located?

Codi Benologa Licensed Clinical Social Worker Inc is located at 4195 N Viking Way Ste 333, Long Beach, CA 90808. The listed phone number is (562) 568-9005.

What is Codi Benologa Licensed Clinical Social Worker Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Codi Benologa Licensed Clinical Social Worker Inc was last updated on March 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.