person
Theo Stoddard-bennett, MD
Student in an Organized Health Care Education/Training Program in Los Angeles, California
NPI 1902661671

Theo Stoddard-bennett is a Student in an Organized Health Care Education/Training Program based in Los Angeles, CA. Theo Stoddard-bennett practices in Los Angeles, CA and has the professional credentials of MD. The NPI Number for Theo Stoddard-bennett is 1902661671 and holds a License No. (California).

The current practice location address for Theo Stoddard-bennett is 885 Tiverton Drive, Los Angeles, CA and can be reached out via phone at 310-825-6373.

Location: 885 Tiverton Drive, Los Angeles, CA, 90095-0001
person
Provider Profile Details
NPI Number
1902661671
Provider Name
Theo Stoddard-bennett
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
885 Tiverton Drive, Los Angeles, CA, 90095-0001
Phone Number
310-825-6373
Fax Number
Provider Enumeration Date
02/20/2024
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
885 Tiverton Drive
City
State
Zip
90095-0001
Phone Number
310-825-6373
Fax Number
person
Provider Business Mailing Address Details
Address
885 Tiverton Drive
City
State
Zip
90095-0001
Phone Number
310-825-6373
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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