Individual
BENNETT CUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
26800 CROWN VALLEY PKWY STE 250, MISSION VIEJO, CA 92691
(949) 364-3330
Mailing address
26800 CROWN VALLEY PKWY STE 250, MISSION VIEJO, CA 92691-8038
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
54830
CT
207RC0000X
Cardiovascular Disease Physician
Primary
A155737
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2011
Last updated
10/21/2021
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