Individual
DR. BRIAN KEITH GAMBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10701 RIVERSIDE DR, SUITE 16, TOLUCA LAKE, CA 91602-2384
(818) 985-1221
Mailing address
10701 RIVERSIDE DR, 16, TOLUCA LAKE, CA 91602-2384
(818) 985-1221
Taxonomy
Speciality
Code
Description
License number
State
207UN0902X
Nuclear Imaging & Therapy Physician
A76121
CA
2085R0202X
Diagnostic Radiology Physician
Primary
A76121
CA
2085U0001X
Diagnostic Ultrasound Physician
A76121
CA
208D00000X
General Practice Physician
A76121
CA
Other
Enumeration date
07/31/2006
Last updated
12/10/2014
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