Organization
DAVID BENVENUTI, M.D. F.A.C.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID BENVENUTI M.D. (OWNER)
(949) 650-2345
Entity
Organization
Contact information
Practice address
355 PLACENTIA AVE, #104, NEWPORT BEACH, CA 92663-3311
(949) 650-2345
(949) 650-6817
Mailing address
355 PLACENTIA AVE, #104, NEWPORT BEACH, CA 92663-3311
(949) 650-2345
(949) 650-6817
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
G34385
CA
Other
Enumeration date
02/12/2010
Last updated
02/12/2010
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