MEDICARE: JOSEPH 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
1	172V00000X	Community Health Worker		CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558580548
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPH BECERRA

Provider Business Mailing Address
First Line	:	605 W OLYMPIC BLVD STE 600
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90015-1475
Country	:	US
Telephone Number	:	213-249-9388
Fax Number	:	213-389-7993

Provider Business Practice Location Address
First Line	:	1000 S FREMONT AVE
Second Line	:
City	:	ALHAMBRA
State	:	CA
Zip	:	91803-8800
Country	:	US
Telephone Number	:	323-377-2571
Fax Number	:

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

Provider Enumeration Date	:	04/25/2007
Last Update Date	:	08/15/2025

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Directions to “ JOSEPH BECERRA ” Practice Location

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