Organization
BECKETT PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOEL STANLEY BECKETT MD (PRESIDENT)
(310) 776-3688
Entity
Organization
Contact information
Practice address
4551 GLENCOE AVE STE 145, MARINA DEL REY, CA 90292-6385
(310) 776-3688
Mailing address
PO BOX 3129, TORRANCE, CA 90510-3129
(310) 776-3688
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Enumeration date
03/20/2023
Last updated
05/10/2024
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