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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