Martin Bennett, M.D.
Family Medicine in Sherman Oaks, CA. Individual provider (NPI-1).
NPI number1164598140
StatusActive
Last updated in NPPESJun 12, 2014
Details
- NPI
- 1164598140
- Entity type
- Individual (NPI-1)
- Name
- Martin Bennett
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 28, 2006
- Last updated
- Jun 12, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | A31783 | CA | Yes |
Practice location
15450 Ventura Blvd Ste 102Sherman Oaks, CA 91403-3061
Phone 818-784-1035 · Fax 818-784-5804
Mailing address
15450 Ventura Blvd Ste 102Sherman Oaks, CA 91403-3061
Phone 818-784-1035
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