Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GUY RICHARD BENNALLACK JR., DO
Active Sole ProprietorGUY RICHARD BENNALLACK JR., DO is a Family Medicine healthcare provider located in SANTA MARIA, California. NPI 1245610344 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · SANTA MARIA, CA
Registration Details
- NPI Number
- 1245610344
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 3, 2015 (11.210324485961 yrs)
- Last Updated
- Mar 23, 2020
- Licenses
-
S3795 (TX)20A15415 (CA)XXXXXXXXXX (CA)S3795 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1400 E CHURCH ST BLDG 8SANTA MARIA, CA, 93454Browse CA providers · Browse ZIP 93454
- Phone
- 8057393561
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Emergency Medicine
- Additional Specialty
- Family Medicine
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in SANTA MARIA, CA
| Name | Credential | NPI |
|---|---|---|
| MICHAEL PAUL SCHRAGER | M.D | 1437153996 |
| DR. LAURA THEIS | M.D. | 1417954017 |
| DR. RICHARD L ZACHRICH | MD | 1043206204 |
| DR. JOHN PHILLIP OKERBLOM | MD | 1427046945 |
| KAMLESH MOHAN DESAI | M.D. | 1336137850 |
| BRIAN DESMOND | M.D. | 1972591865 |
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.