Doctor Name: | ALICIA CLAIRE BECKS |
NPI Number: | 1740314392 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 14288 |
Business Practice Address: | 16111 Plummer St Sepulveda, CA - 913432036 |
Business Phone Number: | 8188955810 |
Business Fax Number: | |
Mailing Address: | 3161 Glencrest Dr, GLENDALE |
State: | CA |
Postal Code: | 912081721 |
Phone Number: | 8189575045 |
Fax Number: | |
NPI Enumeration Date: | 03/15/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LG0600X |
License Number: | 14288 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Gerontology |
Taxonomy Definition: |