Individual
SHANE MICHAEL BESEDICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
325 WESTWOOD PLZ, LOS ANGELES, CA 90095-8356
(310) 825-3335
Mailing address
325 WESTWOOD PLZ, LOS ANGELES, CA 90095-8356
(310) 825-3335
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000001640
CA
Other
Enumeration date
03/26/2020
Last updated
05/28/2021
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