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NPI Code Detail

MEDICARE: HALEY BESNYL

MEDICARE: HALEY BESNYL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225400000XRehabilitation Practitioner
2390200000XStudent in an Organized Health Care Education/Training ProgramCA

General Provider Information

NPI Number : 1477382927
Entity Type Code : Individual
Provider Name (Legal Business Name) : HALEY BESNYL
Provider Business Mailing Address
First Line : 25910 ACERO STE 160
Second Line :
City : MISSION VIEJO
State : CA
Zip : 92691-2777
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 25910 ACERO STE 160
Second Line :
City : MISSION VIEJO
State : CA
Zip : 92691-2777
Country : US
Telephone Number : 877-360-4662
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2024
Last Update Date : 01/12/2026

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Directions to “ HALEY BESNYL ” Practice Location

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