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Organization
BENEDICTO M. ESTOESTA M.D. INC
Active
Organization
BENEDICTO M. ESTOESTA M.D. INC
Active
Other names
Center for Integrative Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENEDICTO MERCADO ESTOESTA MD (PRESIDENT)
(209) 772-8906
Entity
Organization
Contact information
Practice address
55 S HIGHWAY 26 STE 1, VALLEY SPRINGS, CA 95252-8422
(209) 772-8906
(209) 772-8950
Mailing address
55 S HIGHWAY 26 STE 1, P O BOX 1570, VALLEY SPRINGS, CA 95252-8422
(209) 772-8906
(209) 772-8950
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A49318
CA
207QA0505X
Adult Medicine Physician
A49318
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0095330
—
CA
Enumeration date
10/10/2005
Last updated
02/04/2013
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