Justin M Bennink
Medical Specialty
Professional ID
- NPI: 1083033146
- PECOS ID: 5092008276
- Enrollment ID: I20170712002940
- Credential(MD, DO, DPM):
- Medical School: University Of California Irvine California College Of Medicine
- Medical School Graduation Year: 2014
Hospital Service
- Hospital CCN1: 050077
- Business Name (LBN)1: Scripps Mercy Hospital
Medical Practices
- Organization Name: Centro De Salud De La Comunidad De San Ysidro, Inc.
- Group Practice ID assigned by PECOS: 6901709435
- Number of Group Practice member: 84
Location
- Address1: 4004 Beyer Blvd
- Address2:
- City: San Ysidro
- State: California
- Zip Code: 92173
- Phone Number: (619)428-4463
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS):
- Used Electronic health record (EHR):