Provider Demographics
NPI:1255617403
Name:BESADA, HANY
Entity type:Individual
Prefix:
First Name:HANY
Middle Name:
Last Name:BESADA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16227 E CLOVERMEAD ST
Mailing Address - Street 2:
Mailing Address - City:COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91722-2317
Mailing Address - Country:US
Mailing Address - Phone:626-712-8319
Mailing Address - Fax:909-999-8009
Practice Address - Street 1:16227 E CLOVERMEAD ST
Practice Address - Street 2:
Practice Address - City:COVINA
Practice Address - State:CA
Practice Address - Zip Code:91722-2317
Practice Address - Country:US
Practice Address - Phone:626-712-8319
Practice Address - Fax:909-999-8009
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-01
Last Update Date:2011-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)