DR. CAROL JOAN BENNETT (NPI# 1013012178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013012178 |
| Entity Type | Individual |
| Full Name | DR. CAROL JOAN BENNETT |
| Credential | M.D. |
| Practice Address |
11301 Wilshire Blvd # 10h2 Los Angeles CA 90073-1003 |
| Practice Telephone | 3104783711 |
| Practice Fax Number | 3102684967 |
| Mailing Telephone | 3104783711 |
| Mailing Fax Number | 3102684967 |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | C042343 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780055442 | Carol Bennett | Contractor | 1341 Dragonfly Way, Watkinsville, GA 30677-4634 | 2015-10-07 |
| 1770805624 | Carol P. Bennett | Pharmacist | 8040 Highway 320, Toccoa, GA 30577-5196 | 2010-02-19 |
| 1134460017 | Carol Jean Bennett | Dietitian, Registered | 6475 Wall St, Suite 202, Colorado Springs, CO 80918-8337 | 2013-03-02 |
| 1780998468 | Carol Anne Bennett | Social Worker | 2301 Packard St, Ann Arbor, MI 48104-6321 | 2010-08-04 |
| 1033344783 | Carol Bennett | Speech-Language Pathologist | 205 E B St, Jenks, OK 74037-3906 | 2009-05-26 |
| 1467639187 | Carol Robinson Bennett | Physical Therapist | 150 Highland Ave, Rochester, NY 14620-3024 | 2008-01-24 |
| 1366566200 | Carol G Bennett | Social Worker | 156 College St, Suite 201, Burlington, VT 05401-8423 | 2007-03-17 |
| 1093813370 | Carol A Bennett | Nurse Practitioner | 1302 River St, Palatka, FL 32177-5042 | 2006-09-20 |
| 1649279993 | Carol S. Bennett | Physical Therapist | 7601 W Jefferson Blvd, Fort Wayne, IN 46804-4133 | 2005-07-19 |
| Street Address |
11301 WILSHIRE BLVD # 10H2 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90073-1003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184223851 | Emily Jenchura | Psychologist | 11301 Wilshire Blvd (116b, Rm. A-130), Los Angeles, CA 90073 | 2020-10-22 |
| 1184285090 | Marcela Leticia Orellana Galvez | Podiatrist | 11301 Wilshire Blvd Bldg 500, Dept of Surgery, #10-h-2, Los Angeles, CA 90073 | 2019-06-23 |
| 1508310996 | Jennifer Maravola | Student in an Organized Health Care Education/Training Program | 11303 Wilshire Bl. Bdg 116, New Direction Inc., Los Angeles, CA 90073 | 2016-08-15 |
| 1861859480 | Michael Fisher | Student in an Organized Health Care Education/Training Program | 11303 Willshire Blv., V.a. Building 116, Los Angeles, CA 90073 | 2016-01-27 |
| 1629453295 | Christopher Denzel Lewis | Student in an Organized Health Care Education/Training Program | 11303 Wilshire Blvd., Va Bldg. 116, Los Angeles, CA 90073 | 2015-07-24 |
| 1689089179 | Rachel Stannus | Social Worker | 11303 Wilshire Blvd, Bldg116, Los Angeles, CA 90073 | 2014-06-24 |
| 1215355433 | Michael Francis Zito | Psychiatry & Neurology | 11301 Wilshire Blvd Bldg 210a, Los Angeles, CA 90073 | 2014-04-03 |
| 1831523901 | Sarah Arensman Miller | Psychologist | 11301 Wilshire Blvd. Bldg 256, Rm 106a, Va West Los Angeles (116b), Los Angeles, CA 90073 | 2013-08-26 |
| 1134447733 | Stuart Thomas Yee | Physical Medicine & Rehabilitation | 11301 Wilshire Blvd. Mail Code 117, Los Angeles, CA 90073 | 2010-05-07 |
| 1306177654 | Pete Petriashvili | Student in an Organized Health Care Education/Training Program | 11301 Wilshire Blvd, Building 500, Room 4455, Los Angeles, CA 90073 | 2010-01-27 |
| Find all providers in zip 90073 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689092728 | Fuad Fredric Elkhoury | Urology | 200 Med Plaza, Suite 140, Los Angeles, CA 90048 | 2014-04-05 |
| 1457778763 | Boston Medical Group California, L.L.C. | Urology | 9911 W. Pico Blvd, Suite 1215, Los Angeles, CA 90035 | 2014-03-25 |
| 1700219532 | Erwin Robert Blum | Urology | 3224 S Bentley Ave, Los Angeles, CA 90034-5204 | 2013-08-15 |
| 1851637235 | Andre Berger | Urology | 1516 San Pablo Street, Los Angeles, CA 90089-0112 | 2012-12-12 |
| 1548537335 | Kiran Gollapudi | Urology | Ucla Urology 10833 Le Conte Ave, 66-124 Chs, Los Angeles, CA 90095-0001 | 2011-11-21 |
| 1154632602 | Arash Akhavein Mohammadi | Urology | 8631 W 3rd St Ste 715e, Los Angeles, CA 90048 | 2010-06-30 |
| 1639307333 | Francis Thomas Greene | Urology | 603 N. June St, Los Angeles, CA 90004-1011 | 2009-07-01 |
| 1225278211 | Timothy John Daskivich | Urology | Chs 66 124, 10833 Leconte Ave, Los Angeles, CA 90095-0001 | 2009-03-03 |
| 1851562144 | Jonathan Bergman | Urology | 11907 Darlington Avenue #202, Los Angeles, CA 90049 | 2008-03-14 |
| 1023292851 | Pejvak Sassani | Urology | 4900 W Sunset Blvd Fl 2, Los Angeles, CA 90027-5814 | 2007-12-28 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90073 |
Please comment or provide details below to improve the information on DR. CAROL JOAN BENNETT.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.