Edward William Bezkor | La Jolla, CA • PECOS Search

Edward William Bezkor

Physical Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

9350 Campus Point Dr # Ll-D, Suite 1, La Jolla, CA 92037-1300

(858) 657-6879 (917) 698-3578

PECOS Enrollment

Based on the most recent information from CMS, provider Edward William Bezkor does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1326211822
Provider Type
Individual
Full Name
Bezkor, Edward William
Credential
DPT, OCS, MTC

Gender
Male
Sole Proprietor
Yes
Enumeration Date
4/7/2008
Last Updated
11/21/2011

Contact Information

Practice Location

9350 Campus Point Dr # Ll-D, Suite 1, La Jolla, CA 92037-1300

Unlisted Fax

Mailing Location

9 Ridge Cir, Manhasset, NY 11030-2418

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 225100000X Primary	Description Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers	License 0185021 New York