# MARINERS SURGICENTER

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** David Benvenuti M.D.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689934457
- **Authorized official:** DR. DAVID BENVENUTI M.D. (OWNER)
- **Authorized official phone:** (949) 650-2345

## Contact information

- **Practice address:** 355 PLACENTIA AVE STE 99, 355 PLACENTIA AVE. \#104, NEWPORT BEACH, CA 92663-3301
- **Practice address phone:** (949) 650-2345
- **Practice address fax:** (949) 650-6817
- **Mailing address:** 355 PLACENTIA AVE STE 99, 355 PLACENTIA AVE. \#104, NEWPORT BEACH, CA 92663-3301
- **Mailing address phone:** (949) 650-2345
- **Mailing address fax:** (949) 650-6817

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | G34385 | CA | Yes |

## Other

- **Enumeration date:** 05/25/2012
- **Last updated:** 05/25/2012