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NPI Code Detail

MEDICARE: JOSEPH CHARLES BECK M.D.

MEDICARE: JOSEPH CHARLES BECK M.D.
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
12085R0001XRadiation Oncology PhysicianG17713CA

Other Identifiers

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

General Provider Information

NPI Number : 1740206085
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSEPH CHARLES BECK M.D.
Provider Business Mailing Address
First Line : 4721 DALLAS RANCH RD
Second Line :
City : ANTIOCH
State : CA
Zip : 94531-8811
Country : US
Telephone Number : 925-778-0679
Fax Number : 925-778-3567
Provider Business Practice Location Address
First Line : 4721 DALLAS RANCH RD
Second Line :
City : ANTIOCH
State : CA
Zip : 94531-8811
Country : US
Telephone Number : 925-778-0679
Fax Number : 925-778-3567
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2006
Last Update Date : 12/16/2010

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