Organization
MARINERS SURGICENTER
Active
Other names
David Benvenuti M.D.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID BENVENUTI M.D. (OWNER)
(949) 650-2345
Entity
Organization
Contact information
Practice address
355 PLACENTIA AVE STE 99, 355 PLACENTIA AVE. #104, NEWPORT BEACH, CA 92663-3301
(949) 650-2345
(949) 650-6817
Mailing address
355 PLACENTIA AVE STE 99, 355 PLACENTIA AVE. #104, NEWPORT BEACH, CA 92663-3301
(949) 650-2345
(949) 650-6817
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
G34385
CA
Other
Enumeration date
05/25/2012
Last updated
05/25/2012
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