Benvenuti, Thomas G

Benvenuti, Thomas G is an individual health care provider with primary practice located at 520 Superior Avenue Suite 330, Newport Beach CA 92663. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Benvenuti, Thomas G can be contacted via phone (949) 478-7373.

Contact Information

Primary practice address
520 Superior Avenue Suite 330 Newport Beach CA 92663
Phone: (949) 478-7373
Fax: (949) 650-2898
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X G52876 California

Profile Details

NPI number 1699708966
LBN Legal business name Benvenuti, Thomas G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2006
Last updated Aug 2nd, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699708966 NPPES
California Other G52876 STATE LICENSE

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