Individual
BRIAN J BECKNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
18055 BUSHARD ST, FOUNTAIN VALLEY, CA 92708-5760
(949) 689-3846
Mailing address
95 ARGONAUT, 280, ALISO VIEJO, CA 92656-4133
(949) 598-9999
(949) 598-9990
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC27657
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC27657
LICENSE #
CA
Enumeration date
05/11/2007
Last updated
07/08/2007
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