Individual
JASON GARY BECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
31700 TEMECULA PKWY, TEMECULA, CA 92592-5896
(951) 600-3811
Mailing address
13560 HATCHER PL, FONTANA, CA 92336-2945
(909) 347-9340
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A89896
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A898960
BCBS OF CA
CA
05
—
1316150816
—
CA
Enumeration date
05/08/2007
Last updated
06/18/2014
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