Individual
DR. BRUCE B BECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5363 BALBOA BLVD, SUITE 246, ENCINO, CA 91316-2805
(818) 783-3510
(818) 783-9059
Mailing address
5363 BALBOA BLVD, STE 246, ENCINO, CA 91316-2805
(818) 783-3510
(818) 783-9059
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
C40316
CA
207W00000X
Ophthalmology Physician
Primary
C40316
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C403160
—
CA
Enumeration date
06/09/2006
Last updated
08/07/2014
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