Ada Bennett

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · N Hollywood, CA

NPI 1700760832 · NPPES record last updated Aug 1, 2025

Key facts

NPI
1700760832
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
6736 Laurel Canyon Blvd Ste 200
N Hollywood, CA 91606-1576
Phone
(818) 755-8786
NPI assigned
Aug 1, 2025
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

6736 Laurel Canyon Blvd Ste 200
N Hollywood, CA 91606-1576

Mailing address

5645 Farmdale Ave Apt 209
N Hollywood, CA 91601-1780

Other providers in N Hollywood, CA

All providers in N Hollywood, CA · Student in an Organized Health Care Education/Training Program in California

Sources for this page

Verify at the official NPI Registry.