Becerra, Luis Antonio

Becerra, Luis Antonio is an sole proprietor health care provider with primary practice located at 4000 Macarthur Blvd , Newport Beach CA 92660-2558. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Becerra, Luis Antonio can be contacted via phone (949) 793-0122.

Contact Information

Primary practice address
4000 Macarthur Blvd Newport Beach CA 92660-2558
Phone: (949) 793-0122
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor 225C00000X
Behavioral Health & Social Service Providers / Psychologist 103T00000X 35533 California

Profile Details

NPI number 1902155997
LBN Legal business name Becerra, Luis Antonio
Credentials PSYD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 5th, 2012
Last updated Sep 4th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902155997 NPPES
California MEDICAID 7068
California MEDICAID 7420

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