Individual
BRIAN BECERRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 THE CITY DR S, CITY TOWER, STE 400, ORANGE, CA 92868-3201
(714) 456-5691
(714) 456-8874
Mailing address
101 THE CITY DR S, CITY TOWER, STE 400, ORANGE, CA 92868-3201
(714) 456-5691
(714) 456-8874
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
160166
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2017
Last updated
07/11/2020
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