| Dr Dan R Bennett, MD | |
|
18040 Sherman Way, Reseda, CA 91335-4631 | |
| (818) 758-1200 | |
| (818) 758-1356 |
| Full Name | Dr Dan R Bennett |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 18040 Sherman Way, Reseda, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376620666 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | A061192 (California) | Primary |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Dan R Bennett, MD 18040 Sherman Way, Reseda, CA 91335-4631 Ph: (818) 758-1200 | Dr Dan R Bennett, MD 18040 Sherman Way, Reseda, CA 91335-4631 Ph: (818) 758-1200 |
Dr. Sheenie Ambardar, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 18040 Sherman Way, Kaiser Permanente Sherman Terrace Medical Offices, Reseda, CA 91335 Phone: 818-758-1200 | |
Honey Harriet Pietruszka, PSY.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 19234 Vanowen St, Reseda, CA 91335 Phone: 310-278-1933 Fax: 310-385-8747 | |
Dr. Mary Kathleen Igo, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 18040 Sherman Way, Reseda, CA 91335 Phone: 818-883-9941 Fax: 818-346-4253 | |
Dr. Meredith A Hannan, MD, PHD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 19231 Victory Blvd Ste 110, Reseda, CA 91335 Phone: 818-708-4500 | |
Dr. Elsa Kristen Haloman, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 18040 Sherman Way, Reseda, CA 91335 Phone: 800-700-8705 | |
Dr. Laurence Adam Glasser, M.D., M.P.H. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 19231 Victory Blvd, 110, Reseda, CA 91335 Phone: 818-708-4500 Fax: 818-654-1956 |