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NPI Code Detail

MEDICARE: MAX BESSER

MEDICARE: MAX BESSER
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1861243453
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAX BESSER
Provider Business Mailing Address
First Line : 6911 CONVOY CT FL 2
Second Line :
City : SAN DIEGO
State : CA
Zip : 92111-1014
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6911 CONVOY CT FL 2
Second Line :
City : SAN DIEGO
State : CA
Zip : 92111-1014
Country : US
Telephone Number : 833-574-2273
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/01/2024
Last Update Date : 03/24/2026

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Directions to “ MAX BESSER ” Practice Location

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