Provider Demographics
NPI:1588790653
Name:BECK, JULIE M (DC, MSN)
Entity type:Individual
Prefix:DR
First Name:JULIE
Middle Name:M
Last Name:BECK
Suffix:
Gender:F
Credentials:DC, MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18653 VENTURA BLVD
Mailing Address - Street 2:#332
Mailing Address - City:TARZANA
Mailing Address - State:CA
Mailing Address - Zip Code:91356-4103
Mailing Address - Country:US
Mailing Address - Phone:818-434-4552
Mailing Address - Fax:
Practice Address - Street 1:22609 TALLYHO CT
Practice Address - Street 2:
Practice Address - City:TEHACHAPI
Practice Address - State:CA
Practice Address - Zip Code:93561-7977
Practice Address - Country:US
Practice Address - Phone:818-434-4552
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-26
Last Update Date:2014-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC-29914111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition