| Doctor Name: | MARC ALAN BENARD |
| NPI Number: | 1003013566 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPM |
| License Number: | E2178 |
| Business Practice Address: | 3812 Sepulveda Blvd Suite 530 Torrance, CA - 905052413 |
| Business Phone Number: | 3105308001 |
| Business Fax Number: | 3103751386 |
| Mailing Address: | 3812 Sepulveda Blvd, Suite 530 TORRANCE |
| State: | CA |
| Postal Code: | 905052413 |
| Phone Number: | 3105308001 |
| Fax Number: | 3103751386 |
| NPI Enumeration Date: | 06/28/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | E2178 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |