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:
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Health care specialties

SpecialtyCodeLicense #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 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376584433 NPPES
California MEDICAID 00C403160

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