Healthcare Provider Details

I. General information

NPI: 1326479213
Provider Name (Legal Business Name): BRITTANY BECKWITH D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: BRITTANY NOBILETTE D.O.

II. Dates (important events)

Enumeration Date: 12/03/2013
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5555 GROSSMONT CENTER DR
LA MESA CA
91942-3019
US

IV. Provider business mailing address

5555 GROSSMONT CENTER DR
LA MESA CA
91942-3019
US

V. Phone/Fax

Practice location:
  • Phone: 619-740-4405
  • Fax:
Mailing address:
  • Phone: 619-740-4405
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number20A15893
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: