# JERRY S BENZL MD A CALIFORNIA CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679749428
- **Authorized official:** DR. JERRY S BENZL MD (PRESIDENT)
- **Authorized official phone:** (949) 348-1515

## Contact information

- **Practice address:** 26902 OSO PKWY, 180, MISSION VIEJO, CA 92691-5815
- **Practice address phone:** (949) 348-1515
- **Practice address fax:** (949) 348-1512
- **Mailing address:** 26902 OSO PKWY, 180, MISSION VIEJO, CA 92691-5815
- **Mailing address phone:** (949) 348-1515
- **Mailing address fax:** (949) 348-1512

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | A34016 | CA | Yes |

## Other

- **Enumeration date:** 05/01/2008
- **Last updated:** 03/20/2012