Individual
DR. DAN R BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18040 SHERMAN WAY, RESEDA, CA 91335-4631
(818) 758-1200
(818) 758-1356
Mailing address
18040 SHERMAN WAY, RESEDA, CA 91335-4631
(818) 758-1200
(818) 758-1356
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A061192
CA
Other
Enumeration date
11/01/2006
Last updated
11/01/2021
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