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Individual

WALTER DICK BECK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
10929 SOUTH ST, STE 202B, CERRITOS, CA 90703-5340
(562) 860-1504
Mailing address
5912 BOLSA AVE, STE 201, HUNTINGTON BEACH, CA 92649-1146
(714) 898-5732
(714) 901-4058

Taxonomy

Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
AU1794
CA
237700000X
Hearing Instrument Specialist
HA4147
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
AU0017940
CA
Enumeration date
05/27/2006
Last updated
05/28/2014
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