NPI 1982991501 · live from the CMS NPI Registry
Kandice Renee Beenken, D.O.
Orthopaedic Surgery in San Diego, CA. National Provider Identifier 1982991501, active.
NPI record
| NPI | 1982991501 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Orthopaedic Surgery 207X00000X |
| Practice location | 3750 Convoy St Ste 201, San Diego, CA 92111 |
| Practice phone | 858-278-8031 |
| Enumerated | July 4, 2011 |
| Last updated | July 21, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery | 207X00000X | 5101019407 (MI) |
| Orthopaedic Surgery | 207X00000X | DO2030 (NV) |
| Orthopaedic Surgery primary | 207X00000X | 20A15340 (CA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.