Look up the most recent NPI and PECOS records

Eric Olson Benner

Internal Medicine

Allopathic & Osteopathic Physicians

26800 Crown Valley Pkwy Ste 315, Mission Viejo, CA 92691-8039

PECOS Enrollment

This provider is enrolled in PECOS as ERIC BENNER.

Based on the most recent information from CMS, provider Eric Olson Benner is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1063648343
Provider Type
Individual
Full Name
Benner, Eric Olson
Title
Dr.
Credential
M.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
6/1/2009
Last Updated
10/15/2021

Contact Information

Practice Location

26800 Crown Valley Pkwy Ste 315, Mission Viejo, CA 92691-8039

(949) 364-6000

(949) 364-1204

Mailing Location

26800 Crown Valley Pkwy Ste 315, Mission Viejo, CA 92691-8039

(949) 364-6000

(949) 364-1204

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License A107675 California

Eric Olson Benner

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Le, Alyssa Khanh-Van

Bhasin, Vrinda

J. Margo Jaffe Orr, M.D., Inc.

Gregory J Joy Md A Professional Corporation

Finlayson, Erik

Swadener, Nina C

Savitt, Maria Lourdes De Fatima

Lu, Leslie I

Nguyen, Vy P

Sugino, Gerald