Provider Demographics
NPI:1083930218
Name:BENEDEK, LANA MAE (MD)
Entity Type:Individual
Prefix:DR
First Name:LANA
Middle Name:MAE
Last Name:BENEDEK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:900 WILSHIRE BLVD
Mailing Address - Street 2:SUITE 314
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90401-1872
Mailing Address - Country:US
Mailing Address - Phone:310-395-0077
Mailing Address - Fax:310-395-9977
Practice Address - Street 1:900 WILSHIRE BLVD
Practice Address - Street 2:SUITE 314
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90401-1872
Practice Address - Country:US
Practice Address - Phone:310-395-0077
Practice Address - Fax:310-395-9977
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-13
Last Update Date:2012-04-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA1092562084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry