Healthcare Provider Details

I. General information

NPI: 1447348628
Provider Name (Legal Business Name): STEVEN JOSEPH BECKER D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/11/2006
Last Update Date: 08/01/2025
Certification Date: 08/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10601 WALKER ST STE 250
CYPRESS CA
90630-4733
US

IV. Provider business mailing address

PO BOX 35380
LAS VEGAS NV
89133-5380
US

V. Phone/Fax

Practice location:
  • Phone: 714-252-8311
  • Fax: 714-252-8410
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number20A7939
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: