Individual provider · Type 1 NPI

Brendan Bennett

Student in an Organized Health Care Education/Training Program · Tustin, CA

NPI number 1073965554 Active

Practice location

13271 Charloma Dr
Tustin, CA 92780-3809

Call (713) 369-9532 Map

Mailing address

1586 Border Ave Unit C
Corona, CA 92882-4717

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1073965554

Brendan Bennett's National Provider Identifier is 1073965554, issued on Jul 7, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Tustin, CA. The record was last updated on May 1, 2023.