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05D1002957 CLIA NUMBER - MITCHELL BECKER, MD PHYSICIAN'S OFFICE LAB

Laboratory Demographics

CLIA Number: 05D1002957

Facility Name: MITCHELL BECKER, MD PHYSICIAN'S OFFICE LAB

Facility Address:
2336 SANTA MONICA BLVD STE 201
SANTA MONICA, CA
ZIP 90404
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Facility Phone Number: 310 828-4461

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1922033935

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name Field Value
CLIA Number 05D1002957
LAB Type Physician Office
Facility Name MITCHELL BECKER, MD PHYSICIAN'S OFFICE LAB
Street 2336 SANTA MONICA BLVD STE 201
City SANTA MONICA
State CA
ZIP 90404
Phone 310 828-4461
CertificateType 4
CertificateEffectiveDate 11/6/2023
CertificateExpirationDate 11/5/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024