Individual
DR. BRUCE ALLEN CHERNOF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3800 KILROY AIRPORT WAY, THE SCAN FOUNDATION, SUITE 400, LONG BEACH, CA 90806-2494
(562) 308-2858
(562) 308-2707
Mailing address
3800 KILROY AIRPORT WAY, THE SCAN FOUNDATION, SUITE 400, LONG BEACH, CA 90806-2494
(562) 308-2858
(562) 308-2707
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G66646
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G66646
PHYSICIANS AND SURGEONS LICENSE
CA
Enumeration date
02/05/2013
Last updated
03/07/2023
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