Individual
DANIEL EUGENE BRUCKNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5400 BALBOA BLVD STE 326, ENCINO, CA 91316-5214
(818) 789-0495
(818) 789-6726
Mailing address
5400 BALBOA BLVD STE 326, ENCINO, CA 91316-5214
(818) 789-0495
(818) 789-6726
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A112097
CA
Other
Enumeration date
07/16/2010
Last updated
10/18/2018
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