Doctor Name: | ROBERT K. BECK |
NPI Number: | 1720177157 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | A45504 |
Business Practice Address: | 36320 Inland Valley Dr Suite 307 Wildomar, CA - 925957512 |
Business Phone Number: | 9516000110 |
Business Fax Number: | 9516001489 |
Mailing Address: | 31588 Railroad Canyon Rd, CANYON LAKE |
State: | CA |
Postal Code: | 925879468 |
Phone Number: | 9514713888 |
Fax Number: | 9514712965 |
NPI Enumeration Date: | 10/12/2006 |
NPI Last Update Date: | 09/11/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | A45504 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |