Individual
DR. JASON H BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9404 GENESEE AVE, STE. 335, LA JOLLA, CA 92037-1339
(619) 405-9672
(877) 866-6178
Mailing address
9404 GENESEE AVE, STE. 335, LA JOLLA, CA 92037-1339
(619) 405-9672
(877) 866-6178
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A74262
CA
Other
Enumeration date
01/30/2006
Last updated
05/20/2016
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