Individual provider · Type 1 NPI

Robert Bennett, PA-C

Medical Physician Assistant · Santa Monica, CA

NPI number 1467995803 Active

Practice location

100 Wilshire Blvd Ste 700
Santa Monica, CA 90401-3602

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XPA9110133 (FL)
Medical Physician Assistant Primary 363AM0700X54216 (CA)

Medical Physician Assistant: Definition to come...

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About NPI 1467995803

Robert Bennett, PA-C's National Provider Identifier is 1467995803, issued on Dec 1, 2016. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Santa Monica, CA. The record was last updated on Oct 28, 2022.