Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | G50298 | CA |
N | 207XS0106X | Orthopaedic Hand Surgeon | G50298 | CA |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | G50298 | CA |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | G50298 | CA |
N | 207XX0801X | Orthopaedic Trauma Surgeon | G50298 | CA |
NPI | 1396857769 |
---|---|
Provider Name | Dr. Edward Horacio Bestard |
First Address | San Clemente, CA 92673-2808 |
Second Address | San Clemente, CA 92673-2808 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2006 |
Last Update Date | 12/06/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G5029800 | (05) | CA |
E92052 | (02) | CA |