Provider Demographics
NPI:1689761538
Name:THOMAS F BESLEY MD INC
Entity Type:Organization
Organization Name:THOMAS F BESLEY MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:F
Authorized Official - Last Name:BESLEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:714-847-8855
Mailing Address - Street 1:18672 FLORIDA ST
Mailing Address - Street 2:STE 302B
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92648-1925
Mailing Address - Country:US
Mailing Address - Phone:714-847-8855
Mailing Address - Fax:
Practice Address - Street 1:18672 FLORIDA ST
Practice Address - Street 2:STE 302B
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92648-1925
Practice Address - Country:US
Practice Address - Phone:714-847-8855
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-10
Last Update Date:2008-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAW19761Medicare ID - Type Unspecified