MEDICARE: DR. THOMAS C BENT MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	A38147	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1093876583
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. THOMAS C BENT MD

Provider Business Mailing Address
First Line	:	362 3RD ST
Second Line	:
City	:	LAGUNA BEACH
State	:	CA
Zip	:	92651-2307
Country	:	US
Telephone Number	:	949-494-0761
Fax Number	:	949-494-3154

Provider Business Practice Location Address
First Line	:	362 3RD ST
Second Line	:
City	:	LAGUNA BEACH
State	:	CA
Zip	:	92651-2307
Country	:	US
Telephone Number	:	949-494-0761
Fax Number	:	949-494-3154

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/12/2006
Last Update Date	:	07/08/2007

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