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NPI Code Detail

MEDICARE: BENNETT E KISSEL MD

MEDICARE: BENNETT E KISSEL 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
12084P0800XPsychiatry PhysicianA182544CA

General Provider Information

NPI Number : 1659949469
Entity Type Code : Individual
Provider Name (Legal Business Name) : BENNETT E KISSEL MD
Provider Business Mailing Address
First Line : 5419 W SUNSET BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90027-5691
Country : US
Telephone Number : 323-769-6100
Fax Number :
Provider Business Practice Location Address
First Line : 5419 W SUNSET BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90027-5691
Country : US
Telephone Number : 323-769-6100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2021
Last Update Date : 02/26/2026

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Directions to “ BENNETT E KISSEL MD” Practice Location

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