Organization · NPI-2

Joel B. Beck, M.D., INC.

Surgery, Plastic and Reconstructive Surgery · San Mateo, CA

NPI number1124230073

StatusActive

Last updated in NPPESAug 22, 2020

Details

NPI: 1124230073
Entity type: Organization (NPI-2)
Legal business name: Joel B. Beck, M.D., INC.
Organization subpart: No
Enumeration date: May 4, 2007
Last updated: Aug 22, 2020

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
2086S0122X	Surgery, Plastic and Reconstructive Surgery	A65079	CA	Yes

Practice location

66 Bovet Rd
Ste 101
San Mateo, CA 94402

Phone 650-570-6066

Mailing address

11999 San Vicente Blvd
Ste 440
Los Angeles, CA 90049

Phone 310-440-3131

Authorized official

Joel B. Beck
President
6505706066

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