MEDICARE: MRS. CHRISTINA MARIE BECKMAN-PRANIUK LCSW

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	1041C0700X	Clinical Social Worker	LCS21888	CA

General Provider Information

NPI Number	:	1710163555
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CHRISTINA MARIE BECKMAN-PRANIUK LCSW

Provider Business Mailing Address
First Line	:	2324 CALLE BIENVENIDA
Second Line	:
City	:	CHINO HILLS
State	:	CA
Zip	:	91709-5021
Country	:	US
Telephone Number	:	909-227-6916
Fax Number	:

Provider Business Practice Location Address
First Line	:	2324 CALLE BIENVENIDA
Second Line	:
City	:	CHINO HILLS
State	:	CA
Zip	:	91709-5021
Country	:	US
Telephone Number	:	909-227-6916
Fax Number	:

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

Provider Enumeration Date	:	01/10/2008
Last Update Date	:	12/08/2009

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