Individual
DR. LUIS ANTONIO BECERRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
4000 MACARTHUR BLVD, NEWPORT BEACH, CA 92660-2558
(949) 793-0122
Mailing address
PO BOX 755, TUSTIN, CA 92781-0755
(714) 415-8510
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
35533
CA
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
225C00000X
Rehabilitation Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7068
—
CA
05
—
7420
—
CA
Enumeration date
09/05/2012
Last updated
09/04/2025
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