| Organization Name: | BENEDICTO M. ESTOESTA M.D. INC |
| NPI Number: | 1538157953 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BENEDICTO MERCADO ESTOESTA (PRESIDENT) |
| Mailing Address: | 55 S Highway 26 Ste 1 Valley Springs |
| State: | CA US |
| Postal Code: | 952528422 |
| Phone Number: | 2097728906 |
| Fax Number: | 2097728950 |
| NPI Enumeration Date: | 10/10/2005 |
| NPI Last Update Date: | 02/04/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207QA0505X |
| License Number: | A49318 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Family Medicine |
| Taxonomy Specialization: | Adult Medicine |
| Taxonomy Definition: | |