Provider Demographics
NPI:1447348628
Name:BECKER, STEVEN JOSEPH (DO)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:JOSEPH
Last Name:BECKER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:13930 SEAL BEACH BLVD
Mailing Address - Street 2:
Mailing Address - City:SEAL BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90740-5301
Mailing Address - Country:US
Mailing Address - Phone:625-430-8888
Mailing Address - Fax:562-799-0077
Practice Address - Street 1:13930 SEAL BEACH BLVD
Practice Address - Street 2:
Practice Address - City:SEAL BEACH
Practice Address - State:CA
Practice Address - Zip Code:90740-5301
Practice Address - Country:US
Practice Address - Phone:562-430-8888
Practice Address - Fax:562-799-0077
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2021-12-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA20A7939207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00AX79390Medicaid
CA00AX79390Medicaid
CAH93708Medicare UPIN