Provider Demographics
NPI:1861411753
Name:BENSON, EMILY SUZANNE (MD)
Entity type:Individual
Prefix:MS
First Name:EMILY
Middle Name:SUZANNE
Last Name:BENSON
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:800 S VICTORIA AVE # L4640
Mailing Address - Street 2:
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93009-0003
Mailing Address - Country:US
Mailing Address - Phone:805-641-5600
Mailing Address - Fax:805-641-5677
Practice Address - Street 1:133 W SANTA CLARA ST
Practice Address - Street 2:
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93001-2543
Practice Address - Country:US
Practice Address - Phone:805-641-5600
Practice Address - Fax:805-641-5677
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-19
Last Update Date:2021-08-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA90636207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery