Individual
ALAN S BOOKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
910 VIA DE LA PAZ, SUITE 104, PACIFIC PALISADES, CA 90272-3538
(310) 454-0457
(310) 459-1014
Mailing address
910 VIA DE LA PAZ, SUITE 104, PACIFIC PALISADES, CA 90272-3538
(310) 454-0457
(310) 459-1014
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
C27530
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00C275300
BLUE SHIELD
CA
01
—
00C275301
BLUE SHIELD
CA
Enumeration date
11/15/2006
Last updated
03/25/2008
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