Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | A50309 | CA |
N | 111NI0900X | Internist | A50309 | CA |
Y | 207RH0003X | Hematology & Oncology | A50309 | CA |
NPI | 1003888074 |
---|---|
Provider Name | Alberto Bessudo |
First Address | Fresno, CA 93729-5100 |
Second Address | Encinitas, CA 92024-1328 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/02/2006 |
Last Update Date | 23/01/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A50309C | (05) | CA |