Individual
MR. ALAN CHARLES BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
1300 S GRAND AVE, SANTA ANA, CA 92705-4434
(714) 567-7635
(714) 834-7182
Mailing address
PO BOX 11526, SANTA ANA, CA 92711-1526
(714) 567-7635
(714) 834-7182
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
171M00000X
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17
OTHER SERVICES PROVIDER
CA
Enumeration date
02/13/2008
Last updated
02/13/2008
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