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DYSHUN BESHEARS NPI 1710139241


NPI Information

NPI: 1710139241
Provider Name: DYSHUN BESHEARS

Doing Business As: DYSHUN BESHEARS

Classification: Point of Service - 305S00000X
Entity Type: Organization
Address:
1950 ALAMEDA DE LAS PULGAS
SAN MATEO, CA
ZIP 94403
Phone: (650) 573-2440
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DYSHUN BESHEARS is a point of service in San Mateo, CA. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. DYSHUN BESHEARS NPI is 1710139241. The provider is registered as an organization entity type.
The provider Is Doing Business As Dyshun Beshears.

The provider's business location address is:

1950 ALAMEDA DE LAS PULGAS
SAN MATEO, CA
ZIP 94403-222
Phone: (650) 573-2440

The provider's authorized official is Dyshun Edward Beshears .
The authorized official title is Mental Health and has the following contact phone number (408) 568-5683.

The enumeration date for this NPI number is 10/15/2008 and was last updated on 10/1/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1305S00000XPoint of ServiceCALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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