Individual
DR. RYAN EVERETT BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2020 SANTA MONICA BLVD STE 400, SANTA MONICA, CA 90404-2139
(310) 829-2663
Mailing address
10470 OLD PLACERVILLE RD, SUITE 100, SACRAMENTO, CA 95827-2539
(800) 470-0071
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
C55952
CA
Other
Enumeration date
04/07/2008
Last updated
07/22/2015
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