Becker, Bruce B
Becker, Bruce B is an sole proprietor health care provider with primary practice located at 5363 Balboa Blvd Suite 246, Encino CA 91316-2805. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Other Service Providers / Specialist. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Becker, Bruce B can be contacted via phone (818) 783-3510.Contact Information
Primary practice address
5363 Balboa Blvd Suite 246
Encino CA 91316-2805
Phone: (818) 783-3510
Fax: (818) 783-9059
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | C40316 | California |
Other Service Providers / Specialist | 174400000X | C40316 | California |
Profile Details
NPI number | 1376584433 |
---|---|
LBN Legal business name | Becker, Bruce B |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 9th, 2006 |
Last updated | Aug 7th, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1376584433 | NPPES |
California | MEDICAID | 00C403160 |
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