Bennett, Richard Gary

Bennett, Richard Gary is an individual health care provider with primary practice located at 1301 20Th St Suite 570, Santa Monica CA 90404-2050. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Bennett, Richard Gary can be contacted via phone (310) 315-0171.

Contact Information

Primary practice address
1301 20Th St Suite 570 Santa Monica CA 90404-2050
Phone: (310) 315-0171
Fax: (310) 828-6647
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X G50297 California

Profile Details

NPI number 1760416648
LBN Legal business name Bennett, Richard Gary
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760416648 NPPES
California Other 00G502970 MEDICAL PPIN #

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