Organization
LISA BENEST M D A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA BENEST MD (PRESIDENT)
(818) 729-9149
Entity
Organization
Contact information
Practice address
1624 W OLIVE AVENUE, SUITE B, BURBANK, CA 91506
(818) 729-9149
(818) 729-9119
Mailing address
1633 ERRINGER RD, 1ST FLOOR, SIMI VALLEY, CA 93065-3583
(805) 578-8300
(805) 578-3911
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
CA
Other
Enumeration date
10/03/2006
Last updated
11/30/2009
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