Individual
IRWIN BARRY BRUCKNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5400 BALBOA BLVD STE 326, ENCINO, CA 91316-5214
(818) 789-0492
(818) 789-6726
Mailing address
5400 BALBOA BLVD STE 326, ENCINO, CA 91316-5214
(818) 789-0492
(818) 789-6726
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
G42765
CA
Other
Enumeration date
10/16/2006
Last updated
07/08/2007
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