Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANE MICHAEL BESEDICK, ATC
Active Sole ProprietorSHANE MICHAEL BESEDICK, ATC is a Athletic Trainer healthcare provider located in LOS ANGELES, California. NPI 1497382576 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · LOS ANGELES, CA
Registration Details
- NPI Number
- 1497382576
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 26, 2020 (6.3668128333765 yrs)
- Last Updated
- May 28, 2021
- License
-
2000001640 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
325 WESTWOOD PLZLOS ANGELES, CA, 900958356Browse CA providers · Browse ZIP 90095
- Phone
- 3108253335
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in LOS ANGELES, CA
| Name | Credential | NPI |
|---|---|---|
| MR. JASON TREVOR ROBERTS | ATC, CSCS | 1487630034 |
| KELLY M JAEGER | ATC | 1396719217 |
| ANTHONY GONZALES | ATC | 1144297979 |
| JO H WANG | ATC, CSCS, PES | 1942277579 |
| VICTOR PULIDO JR. | A.T.C. | 1912966672 |
| MR. AIKANE L BELEZ | MSED, ATC, CEAS | 1407818875 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.