Organization
CHRISTIAN BENTLEY, M.D. A PROFESSIONAL CORPORATION
Active
Other names
MPOWR Orthopaedic Health
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTIAN D BENTLEY M.D. (OWNER)
(760) 295-2995
Entity
Organization
Contact information
Practice address
2067 W VISTA WAY, SUITE 265, VISTA, CA 92083-6031
(760) 295-2995
(760) 295-2906
Mailing address
2067 W VISTA WAY, SUITE 265, VISTA, CA 92083-6031
(760) 295-2995
(760) 295-2906
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A68137
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A68137
CALIFORNIA MEDICAL LICENSE
CA
Enumeration date
07/07/2011
Last updated
01/11/2012
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