Search › California › 3336C0003X
Jeffrey Bennett
NPI 1205642592 · on the registry since 2024 · sole proprietor
Practice
- Address
- 2005 S Mariposa Rd
Stockton, CA 95205 - Phone
- (209) 464-7722
- Fax
- (209) 464-3780
- Organisation at this address
- Jeffrey Ryan Bennett
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 3336C0003X
3336C0003X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-07-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California