# FAMINI AND GLUCKMAN, M.D.S, A PROFESSIONAL MEDICAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457297574
- **Authorized official:** DR. POUYAN FAMINI MD (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (818) 660-6199

## Contact information

- **Practice address:** 16661 VENTURA BLVD STE 818, ENCINO, CA 91436-1999
- **Practice address phone:** (818) 660-6199
- **Mailing address:** 16661 VENTURA BLVD STE 818, ENCINO, CA 91436-1999
- **Mailing address phone:** (818) 660-6199

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |
| 207RG0100X | Gastroenterology Physician | — | NULL | — |
| 207RG0100X | Gastroenterology Physician | — | — | — |

## Other

- **Enumeration date:** 04/29/2026
- **Last updated:** 04/29/2026
