David Benvenuti, M.D. F.A.C.S.
Clinic/Center, Ambulatory Surgical in Newport Beach, CA. Organization (NPI-2).
NPI number1295067494
StatusActive
Last updated in NPPESFeb 12, 2010
Details
- NPI
- 1295067494
- Entity type
- Organization (NPI-2)
- Legal business name
- David Benvenuti, M.D. F.A.C.S.
- Organization subpart
- No
- Enumeration date
- Feb 12, 2010
- Last updated
- Feb 12, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QA1903X | Clinic/Center, Ambulatory Surgical | G34385 | CA | Yes |
Practice location
355 Placentia Ave#104
Newport Beach, CA 92663-3311
Phone 949-650-2345 · Fax 949-650-6817
Mailing address
355 Placentia Ave#104
Newport Beach, CA 92663-3311
Phone 949-650-2345 · Fax 949-650-6817
Authorized official
David Benvenuti
Owner
9496502345
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