Organization
GERALD BUCKBERG M.D. INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERALD DAVID BUCKBERG M.D. (PRESIDENT)
(310) 206-1027
Entity
Organization
Contact information
Practice address
UCLA MEDICAL CTR, 10833 LE CONTE AVENUE 62-258 CHS, LOS ANGELES, CA 90095-1741
(310) 206-1027
Mailing address
UCLA MEDICAL CTR, 10833 LE CONTE AVENUE 62-258 CHS, LOS ANGELES, CA 90095-1741
(310) 206-1027
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
G11527
CA
Other
Enumeration date
10/15/2013
Last updated
10/15/2013
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