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1st Industrial Medical Group

Podiatrist in Orange, CA · enumerated 2007 · authorized official Mark Bennallack, Co Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1689863995

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Registry record

Entity type Organization (Type 2)
Legal business name 1st Industrial Medical Group
Practice address 1234 W Chapman Ave, Suite 204, Orange, CA, 92868
Phone (714) 289-4693
Fax (714) 289-4698
Enumeration date Oct 23, 2007
Last updated in NPPES Jun 24, 2008

Taxonomy & classification

111N00000X Chiropractor Chiropractic Providers Secondary
207LP2900X Pain Medicine (Anesthesiology) Physician Allopathic & Osteopathic Physicians Secondary
207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Secondary
207XX0004X Orthopaedic Foot and Ankle Surgery Physician Allopathic & Osteopathic Physicians Secondary
208100000X Physical Medicine & Rehabilitation Physician Allopathic & Osteopathic Physicians Secondary
2086S0122X Plastic and Reconstructive Surgery Physician Allopathic & Osteopathic Physicians Secondary
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Allopathic & Osteopathic Physicians Secondary
213E00000X Podiatrist Podiatric Medicine & Surgery Service Providers Primary

Authorized official

Name Mark Bennallack
Title Co Owner
Phone (714) 289-4693

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2008-06-24. Verify at npiregistry.cms.hhs.gov.
Where is 1st Industrial Medical Group located?
The practice location on file with NPPES is in Orange, CA.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-06-24.