Individual
THEODORE BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4000 W METROPOLITAN DR, ORANGE, CA 92868-3504
(714) 517-6353
Mailing address
4000 W METROPOLITAN DR, ORANGE, CA 92868-3504
(714) 517-6353
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT24713
CA
Other
Enumeration date
09/26/2008
Last updated
03/16/2020
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