Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | DC20119 | CA |
N | 111NN0400X | Neurology | DC20119 | CA |
N | 111NX0800X | Chiropractor Orthopedic Specialist | DC20119 | CA |
NPI | 1952311763 |
---|---|
Provider Name | Dr. Steven G Becker |
First Address | Los Angeles, CA 90035-1156 |
Second Address | Los Angeles, CA 90035-1156 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/08/2006 |
Last Update Date | 30/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
DC20119 | (02) | CA |