Individual
DR. AMY BUCKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1200 N STATE ST, CLINIC TOWER, SUITE A7D, LOS ANGELES, CA 90033-1029
(323) 409-1000
Mailing address
4260 VIA ARBOLADA UNIT 117, LOS ANGELES, CA 90042-5178
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A144971
CA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/13/2012
Last updated
09/05/2016
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