Individual provider · Type 1 NPI

Jonathan Ian Bennett, D.P.M.

Foot & Ankle Surgery Podiatrist · Fullerton, CA

NPI number 1497850325 Active

Practice location

300 N Euclid St, Suite A
Fullerton, CA 92832-1623

Call (714) 888-6860 Map

Fax (714) 888-6867

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist Primary 213ES0103XE4301 (CA)

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1497850325

Jonathan Ian Bennett, D.P.M.'s National Provider Identifier is 1497850325, issued on Sep 14, 2006. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Fullerton, CA. The record was last updated on Jun 22, 2010.