Physician Compare National (NPI:1538291778)

HEALTHCARE PROVIDER: PATRICK MICHAEL BENNETT D.C.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1538291778
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5294919916
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110405000130
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BENNETT
	Individual professional last name
Provider First Name	PATRICK
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	CLEVELAND CHIROPRACTIC COLLEGE - LOS ANGELES
	Individual professional's medical school
Graduation Year	2001
	Individual professional's medical school graduation year
Primary Specialty	CHIROPRACTIC
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	4409 TUJUNGA AVE
	Group Practice or individual's line 1 address
City	STUDIO CITY
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	916022053
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y