Organization
JON BENNETT DO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JON M. BENNETT D.O. (PRESIDENT)
(714) 655-8719
Entity
Organization
Contact information
Practice address
1211 W LA PALMA AVE, 301, ANAHEIM, CA 92801-2815
(714) 284-0737
(714) 284-0720
Mailing address
PO BOX 1809, ORANGE, CA 92856-0809
(714) 560-1580
(714) 560-1585
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
20A7453
CA
Other
Enumeration date
02/02/2010
Last updated
09/27/2010
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