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Organization
RIVERVIEW MEDICAL GROUP, INC
Active
Organization
RIVERVIEW MEDICAL GROUP, INC
Active
Other names
BURTON L. LUTSKY, D.O.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BURTON LEWIS LUTSKY D.O. (PRESIDENT)
(714) 590-3090
Entity
Organization
Contact information
Practice address
12555 GARDEN GROVE BLVD, SUITE 507, GARDEN GROVE, CA 92843-1902
(714) 590-3090
(714) 590-3098
Mailing address
12555 GARDEN GROVE BLVD, SUITE 507, GARDEN GROVE, CA 92843-1902
(714) 590-3090
(714) 590-3098
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20A3407
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AX34070
—
CA
Enumeration date
08/03/2005
Last updated
08/22/2020
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