Individual
DR. BRUCE MICHAEL SCHLECTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1809 VERDUGO BLVD, #210, GLENDALE, CA 91208-1402
(818) 790-8511
(818) 790-8513
Mailing address
1809 VERDUGO BLVD STE 210, GLENDALE, CA 91208-1402
(818) 790-8512
Taxonomy
Speciality
Code
Description
License number
State
2084H0002X
Hospice and Palliative Medicine (Psychiatry & Neurology) Physician
Primary
G31391
CA
2084N0400X
Neurology Physician
G31391
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G313910
BLUE SHIELD OF CA
CA
01
—
0G313910
CA MEDI-CAL
CA
01
—
953192779
BLUE CROSS OF CA
CA
Enumeration date
02/24/2006
Last updated
03/31/2021
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