Healthcare Provider Details

I. General information

NPI: 1679429740
Provider Name (Legal Business Name): CRISTINA BECERRA NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/10/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8133 SAN FERNANDO RD STE B1
SUN VALLEY CA
91352-4065
US

IV. Provider business mailing address

10238 VENA AVE
ARLETA CA
91331-4452
US

V. Phone/Fax

Practice location:
  • Phone: 818-207-1077
  • Fax: 818-279-0816
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberNP95031949
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: