Lisa Benest M D a Professional Corporation

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

LISA BENEST M D A PROFESSIONAL CORPORATION

Practice address

1624 W Olive Avenue
Suite B
Burbank, CA 91506

Phone

(818) 729-9149

Fax

(818) 729-9119

NPI assigned

Oct 3, 2006

Last updated

Nov 30, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lisa Benest, MDNPI 1104898238

Title

President

Phone

(818) 729-9149

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lisa Benest, MD

  • Dermatology Physician
  • Burbank, CA
  • NPI 1104898238
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259539200000",
    "number": "1497849392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1633 ERRINGER RD",
            "address_2": "1ST FLOOR",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930653583",
            "telephone_number": "805-578-8300",
            "fax_number": "805-578-3911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1624 W OLIVE AVENUE",
            "address_2": "SUITE B",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "91506",
            "telephone_number": "818-729-9149",
            "fax_number": "818-729-9119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA BENEST M D A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2009-11-30",
        "status": "A",
        "authorized_official_last_name": "BENEST",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-729-9149",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherry Lin, MFA, RDN, LDN
• Line of Care Medical Transportation LLC
• Warren Scott Line Jr., MD
• Amy Yeh-Chu Liou, M.S.
• Eugene Lipin, BC-HIS
• Lisa Matzer MD a Professional Corporation
• Lisa's Medical Transportation, Inc.
• Rebecca Littell
• Diana Cherie Little, M.A., L.M.F.T.
• John Lituanas, P.T.

• Specialist in Burbank, CA
• Providers in Burbank, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.