Healthcare Provider Details

I. General information

NPI: 1154254449
Provider Name (Legal Business Name): BEZSAM INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2026
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

730 W 19TH ST
NATIONAL CITY CA
91950-5404
US

IV. Provider business mailing address

730 W 19TH ST
NATIONAL CITY CA
91950-5404
US

V. Phone/Fax

Practice location:
  • Phone: 619-673-8851
  • Fax: 619-602-0332
Mailing address:
  • Phone: 619-673-8851
  • Fax: 619-602-0332

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: MR. BENJAMIN MACIAS
Title or Position: CEO
Credential: MACIAS
Phone: 619-602-0332