Individual
EMILY BRUCKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12301 WILSHIRE BLVD STE 120, LOS ANGELES, CA 90025-1099
(310) 979-7337
(310) 979-7338
Mailing address
12301 WILSHIRE BLVD STE 120, LOS ANGELES, CA 90025-1099
(310) 979-7337
(310) 979-7338
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A124722
CA
Other
Enumeration date
09/18/2013
Last updated
08/24/2015
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