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NPI Code Detail

MEDICARE: JOSE BECERRA

MEDICARE:   JOSE  BECERRA
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
1372500000XChore ProviderNV
2372600000XAdult CompanionNV
33747A0650XAttendant Care ProviderNV
4376J00000XHomemakerNV
53747P1801XPersonal Care AttendantNV

General Provider Information

NPI Number : 1134605892
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSE BECERRA
Provider Business Mailing Address
First Line : 5135 CAMINO AL NORTE STE 150
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89031-2388
Country : US
Telephone Number : 702-853-6714
Fax Number : 702-853-6715
Provider Business Practice Location Address
First Line : 5135 CAMINO AL NORTE STE 150
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89031-2388
Country : US
Telephone Number : 702-853-6714
Fax Number : 702-853-6715
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/16/2018
Last Update Date : 02/08/2026

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Directions to “ JOSE BECERRA ” Practice Location

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