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Individual

DR. EDWARD HORACIO BESTARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D., F.A.C.S.

Contact information

Practice address
653 CAMINO DE LOS MARES, SUITE 102, SAN CLEMENTE, CA 92673-2808
(949) 661-8800
(949) 661-9033
Mailing address
653 CAMINO DE LOS MARES, SUITE 102, SAN CLEMENTE, CA 92673-2808
(949) 661-8800
(949) 661-9033

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G50298
CA
207XS0106X
Orthopaedic Hand Surgery Physician
G50298
CA
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
G50298
CA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
G50298
CA
207XX0801X
Orthopaedic Trauma Physician
G50298
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G5029800
CA
Enumeration date
08/31/2006
Last updated
06/12/2014
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