Individual
DR. ALICE HEIDE JOAN HUCKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8700 BEVERLY BLVD, WEST HOLLYWOOD, CA 90048-1804
(310) 423-5000
Mailing address
PO BOX 512717, LOS ANGELES, CA 90051-0717
(310) 423-5000
(310) 967-1773
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0000000
ZZ
208000000X
Pediatrics Physician
Primary
A151853
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2012
Last updated
10/16/2018
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