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Individual

DR. BRUCE LOVEJOY MACRUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1245 WILSHIRE BLVD STE 580, LOS ANGELES, CA 90017-5854
(213) 977-0419
(213) 977-0225
Mailing address
1245 WILSHIRE BLVD STE 580, LOS ANGELES, CA 90017-5854
(213) 977-0419
(213) 977-0225

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
G76821
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G768210
CA
01
060049072
MEDICARE RAILROAD
CA
Enumeration date
09/07/2005
Last updated
07/06/2023
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