| Isaac Beshay M D Inc. | |
|
2200 Harbor Blvd Suite B210 Costa Mesa CA 92627-2501 | |
| (949) 548-2273 | |
| (949) 548-4504 |
| Full Name | Isaac Beshay M D Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 2200 Harbor Blvd, Costa Mesa, California |
| Authorized Official Name and Position | Isaac Beshay (PRESIDENT) |
| Authorized Official Contact | 9495482273 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Isaac Beshay M D Inc. 2200 Harbor Blvd Suite B210 Costa Mesa CA 92627-2501 Ph: (949) 548-2273 | Isaac Beshay M D Inc. 2200 Harbor Blvd Suite B210 Costa Mesa CA 92627-2501 Ph: (949) 548-2273 |
| NPI Number | 1346492055 |
|---|---|
| Provider Enumeration Date | 10/14/2008 |
| Last Update Date | 10/14/2008 |
| Medicare PECOS PAC ID | 1355401852 |
|---|---|
| Medicare Enrollment ID | O20081113000296 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346492055 | NPI | - | NPPES |
| 0A890390 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A89039 (California) | Primary |
| Provider Name | Isaac Beshay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962434241 PECOS PAC ID: 3779528773 Enrollment ID: I20050621000512 |
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