Individual
DR. GABRIEL GLUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3525 LOMA VISTA RD STE A, VENTURA, CA 93003-3165
(805) 641-6415
(805) 641-6424
Mailing address
1203 FLYNN RD UNIT 160, CAMARILLO, CA 93012-6203
(805) 804-4168
(805) 830-1177
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
C166320
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101-028855
STATE LICENSE
VA
01
—
C166320
STATE LICENSE
CA
Enumeration date
07/13/2005
Last updated
07/14/2025
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