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Organization

FAMINI AND GLUCKMAN, M.D.S, A PROFESSIONAL MEDICAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. POUYAN FAMINI MD (CHIEF EXECUTIVE OFFICER)
(818) 660-6199
Entity
Organization

Contact information

Practice address
16661 VENTURA BLVD STE 818, ENCINO, CA 91436-1999
(818) 660-6199
Mailing address
16661 VENTURA BLVD STE 818, ENCINO, CA 91436-1999
(818) 660-6199

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
207RG0100X
Gastroenterology Physician

Other

Enumeration date
04/29/2026
Last updated
04/29/2026
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