Organization
PRIMARY CRITICAL CARE MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE T GIPE MD (PRESIDENT)
(818) 509-2222
Entity
Organization
Contact information
Practice address
501 S BUENA VISTA ST, BURBANK, CA 91505-4809
(818) 843-5111
(818) 843-0641
Mailing address
PO BOX 998, NORTH HOLLYWOOD, CA 91603-0998
(818) 509-2222
(818) 509-2229
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
G42382
CA
Other
Enumeration date
07/11/2007
Last updated
02/28/2008
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