Latina Beckett
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Duarte, CA
NPI 1962012518 · NPPES record last updated Aug 7, 2020
Key facts
- NPI
- 1962012518
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 2335 Mountain Ave
Duarte, CA 91010-3559 - Phone
- (818) 821-6012
- Fax
- (818) 821-6014
- NPI assigned
- Aug 7, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
2335 Mountain Ave
Duarte, CA 91010-3559
Mailing address
12501 Chandler Blvd Ste 102
Valley Village, CA 91607-1955
Phone (818) 821-6012
Other providers in Duarte, CA
- Elizabeth Gallegos Bautista
- Lizbeth Bautista
- Jose Gilberto Bazan Jr.
- Judith Becerra
- Lauren Becker
- Shannon Marisa Bell
- Brooke S Bender
- Jeffrey Michael Bender
- Mario Benitez
- Elizabeth Bernardi
All providers in Duarte, CA · Student in an Organized Health Care Education/Training Program in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.