MEDICARE: BRIAN ARTHUR BECK M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0400X	Neurology Physician	A25381	CA

General Provider Information

NPI Number	:	1134104508
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIAN ARTHUR BECK M.D.

Provider Business Mailing Address
First Line	:	12291 WASHINGTON BLVD
Second Line	:	303
City	:	WHITTIER
State	:	CA
Zip	:	90606-2500
Country	:	US
Telephone Number	:	562-698-6296
Fax Number	:	562-693-6752

Provider Business Practice Location Address
First Line	:	12291 WASHINGTON BLVD
Second Line	:	303
City	:	WHITTIER
State	:	CA
Zip	:	90606-2500
Country	:	US
Telephone Number	:	562-698-6296
Fax Number	:	562-693-6752

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/08/2005
Last Update Date	:	07/08/2007

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