NPI 1174679260

Bennett Surgery Centers a Medical Corp

Organisation Dermatology Physician Santa Monica, CA

Practice location

Address: 1301 20th St Suite 570, Santa Monica, CA 90404
Phone: (310) 315-0171
Fax: (310) 828-6647

Authorised official

Name: Richard Gary Bennett
Title: Owner
Phone: (310) 315-0171

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X

Other Dermatology providers in California →

Registry record

NPI: 1174679260
Entity type: Organization
NPI issued: 25 Jan 2007
Record last updated: 18 Jan 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.