Dr. Carol Joan Bennett, M.D.

Urology in Los Angeles, CA. Individual provider (NPI-1).

NPI number1013012178

StatusActive

Last updated in NPPESJul 8, 2007

Details

NPI: 1013012178
Entity type: Individual (NPI-1)
Name: Dr. Carol Joan Bennett
Credential: M.D.
Sex: Female
Sole proprietor: Yes
Enumeration date: Sep 14, 2006
Last updated: Jul 8, 2007

Medicare and OIG

Medicare enrolled (PECOS): Yes · ORDER AND REFERRING ONLY - UROLOGY
Can order and refer: Part B No · DME Yes · Home health No · Power mobility Yes · Hospice No
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
208800000X	Urology	C042343	CA	Yes

Practice location

11301 Wilshire Blvd # 10h2
Los Angeles, CA 90073-1003

Phone 310-478-3711 · Fax 310-268-4967

Mailing address

11301 Wilshire Blvd # 10h2
Los Angeles, CA 90073-1003

Phone 310-478-3711 · Fax 310-268-4967

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Other Urology Physician providers in Los Angeles, CA

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