MARTIN BENNETT — OIG Excluded Provider (ENCINO, CA, 1128b4)
MARTIN BENNETT — OIG Excluded Provider (ENCINO, CA, 1128b4) is one of 9,000 exclusions in the ExcludeCheck dataset. Key details — Name: MARTIN BENNETT; Type: Individual; Provider category: PHYSICIAN (MD, DO).
| Name | MARTIN BENNETT |
|---|---|
| Type | Individual |
| Provider category | PHYSICIAN (MD, DO) |
| Specialty | FAMILY PRACTICE |
| NPI | 1164598140 |
| City | ENCINO |
| State | CA |
| ZIP | 91416 |
| Exclusion authority | 1128b4 |
| Exclusion reason | License revocation, suspension, or surrender |
| Exclusion date | 2017-09-20 |
| Source | HHS-OIG LEIE |
$1499/mo
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