Organization
JUDITH VUKOV, M.D.,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUDITH A VUKOV M.D. (PRESIDENT/OWNER)
18189563207
Entity
Organization
Contact information
Practice address
121 W LEXINGTON DR, SUITE 210, GLENDALE, CA 91203-2203
(818) 956-3207
(818) 956-1180
Mailing address
PO BOX 10578, GLENDALE, CA 91209-3578
(818) 956-3207
(818) 956-1180
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A38036
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A380360
—
CA
Enumeration date
02/05/2008
Last updated
07/14/2015
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