Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Melissa Province Bennett, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1053469080

Melissa Province Bennett, MD is an Obstetrics & Gynecology Physician in San Diego, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4647 Zion Ave
San Diego, CA 92120-2507
Phone: (619) 528-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence A92274 (CA)

Record details

NPI number1053469080
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 8, 2007
Last updated in NPPESNovember 29, 2021
Mailing address4647 Zion Ave, San Diego, CA 92120-2507

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