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Organization
BRUCE B BECKER MD A MEDICAL CORPORATION
Active
Organization
BRUCE B BECKER MD A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE B BECKER M.D. (OWNER)
(818) 783-3510
Entity
Organization
Contact information
Practice address
5363 BALBOA BLVD, 246, ENCINO, CA 91316-2805
(818) 783-3510
(818) 783-9053
Mailing address
5363 BALBOA BLVD, 246, ENCINO, CA 91316-2805
(818) 783-3510
(818) 783-9053
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
09/17/2009
Last updated
10/01/2015
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