Individual provider · NPI-1

Dr. Eric Olson Benner, M.D.

Internal Medicine · Mission Viejo, CA

NPI number1063648343
StatusActive
Last updated in NPPESOct 15, 2021

Details

NPI
1063648343
Entity type
Individual (NPI-1)
Name
Dr. Eric Olson Benner
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Jun 1, 2009
Certification date
Oct 15, 2021
Last updated
Oct 15, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal MedicineA107675CAYes

Practice location

26800 Crown Valley Pkwy Ste 315
Mission Viejo, CA 92691-8039

Phone 949-364-6000 · Fax 949-364-1204

Mailing address

26800 Crown Valley Pkwy Ste 315
Mission Viejo, CA 92691-8039

Phone 949-364-6000 · Fax 949-364-1204

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Internal Medicine providers in Mission Viejo, CA