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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CARISSA DARLENE BENNETT, AUD

Active

CARISSA DARLENE BENNETT, AUD is a Specialist healthcare provider located in LOS ANGELES, California. NPI 1104869551 is currently active in the NPPES registry. Verify at CMS.

Specialist · LOS ANGELES, CA

Registration Details

NPI Number
1104869551
Provider Type
Individual
Gender
Female
NPI Issued
Jun 14, 2006 (20.142220810261 yrs)
Last Updated
Jan 28, 2009
License
AU759 (CA)

Practice Information

Address
11645 WILSHIRE BLVD
SUITE # 600
LOS ANGELES, CA, 900251708
Browse CA providers · Browse ZIP 90025
Phone
3104775558
Fax
3104777281
Primary Specialty
Specialist
174400000X

Other Specialist Providers in LOS ANGELES, CA

Name Credential NPI
DR. HAROLD E REAVES M.D. 1962408427
DR. RICHARD M WITTEN M.D. 1700882644
DR. ROBERT KEY BOLAN M.D. 1386643831
DR. MATTHEW J. BOSSE M.D. 1245239714
MICHAEL B KAMIEL MD 1669471603
DR. STEVEN STEINSCHRIBER M.D. 1407858285
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.