Provider Demographics
NPI:1972561280
Name:BESSER, EDUARDO (MD)
Entity Type:Individual
Prefix:DR
First Name:EDUARDO
Middle Name:
Last Name:BESSER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:11740 WILSHIRE BLVD
Mailing Address - Street 2:#A1006
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90025-6536
Mailing Address - Country:US
Mailing Address - Phone:310-560-9845
Mailing Address - Fax:310-646-6256
Practice Address - Street 1:9808 VENICE BLVD
Practice Address - Street 2:#400
Practice Address - City:CULVER CITY
Practice Address - State:CA
Practice Address - Zip Code:90232-2732
Practice Address - Country:US
Practice Address - Phone:310-838-0202
Practice Address - Fax:310-464-6256
Is Sole Proprietor?:No
Enumeration Date:2006-05-03
Last Update Date:2011-05-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA79263207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A792630Medicaid
CAWA79263FMedicare ID - Type Unspecified
CAH77329Medicare UPIN