Individual
IAN A GALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
18370 BURBANK BLVD, STE 407, TARZANA, CA 91356-2804
(818) 996-4242
(818) 996-4352
Mailing address
18370 BURBANK BLVD, STE 407, TARZANA, CA 91356-2804
(818) 996-4242
(818) 996-4352
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
G20767
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G207670
—
CA
01
—
340010775
RAILROAD MEDICARE
CA
Enumeration date
07/12/2006
Last updated
11/25/2009
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