Individual
CLARE SANDRA BUCKINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1225 WILSHIRE BLVD, LOS ANGELES, CA 90017-1901
(213) 977-2121
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(323) 409-6667
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A143225
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
06/11/2012
Last updated
05/09/2018
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