Doctor Name: | DR. RICHARD ALAN BENDER |
NPI Number: | 1255412664 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | A24222 |
Business Practice Address: | 32392 Via Mentone Dana Point, CA - 926293417 |
Business Phone Number: | 9497151271 |
Business Fax Number: | 9497151273 |
Mailing Address: | 32392 Via Mentone, DANA POINT |
State: | CA |
Postal Code: | 926293417 |
Phone Number: | 9497151271 |
Fax Number: | 9497151273 |
NPI Enumeration Date: | 10/18/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM2500X |
License Number: | A24222 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Medical Specialty |
Taxonomy Definition: | An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |