Individual
ALICE E. BESONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1000 VALE TERRACE DR, VISTA, CA 92084-5218
(760) 631-5000
Mailing address
PO BOX 5201, OCEANSIDE, CA 92052-5201
(484) 274-1488
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C162037
CA
207Q00000X
Family Medicine Physician
ME123086
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014627100
—
FL
01
—
GA73504
GEORGIA MEDICAL LICENSE
GA
01
—
ME123086
FLORIDA LICENSE
FL
01
—
NY263473
NEW YORK MEDICAL LICENSE
NY
Enumeration date
06/08/2008
Last updated
05/09/2023
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