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Organization

RICHARD S. GLUCKMAN M.D. INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RICHARD STEPHEN GLUCKMAN M.D. (PRESIDENT OF CORPORATION)
(310) 832-6428
Entity
Organization

Contact information

Practice address
1360 W 6TH ST, #350, SAN PEDRO, CA 90732-3514
(310) 832-6428
(310) 832-5178
Mailing address
1360 W 6TH ST, #350, SAN PEDRO, CA 90732-3514
(310) 832-6428
(310) 832-5178

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
G33891
CA

Other

Enumeration date
03/28/2006
Last updated
08/16/2013
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