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Organization
PAUL R BENNETT M D INC
Active
Organization
PAUL R BENNETT M D INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL BENNETT M.D. (PRESIDENT DIRECT OWNER)
(818) 888-7815
Entity
Organization
Contact information
Practice address
24355 LYONS AVE, STE. #120, SANTA CLARITA, CA 91321-2300
(661) 255-6644
(818) 715-1722
Mailing address
PO BOX 7001, TARZANA, CA 91357-7001
(818) 888-7815
(818) 715-1722
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G46583
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
G46583
CA
Other
Enumeration date
03/29/2006
Last updated
08/27/2009
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