# BRUCE B BECKER MD A MEDICAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093048365
- **Authorized official:** DR. BRUCE B BECKER M.D. (OWNER)
- **Authorized official phone:** (818) 783-3510

## Contact information

- **Practice address:** 5363 BALBOA BLVD, 246, ENCINO, CA 91316-2805
- **Practice address phone:** (818) 783-3510
- **Practice address fax:** (818) 783-9053
- **Mailing address:** 5363 BALBOA BLVD, 246, ENCINO, CA 91316-2805
- **Mailing address phone:** (818) 783-3510
- **Mailing address fax:** (818) 783-9053

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/17/2009
- **Last updated:** 10/01/2015