Richard S. Gluckman M.d. Inc | |
1360 W 6th St #350 San Pedro CA 90732-3514 | |
(310) 832-6428 | |
(310) 832-5178 |
Full Name | Richard S. Gluckman M.d. Inc |
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Speciality | Psychiatry & Neurology - Neurology |
Location | 1360 W 6th St, San Pedro, California |
Authorized Official Name and Position | Richard Stephen Gluckman (PRESIDENT OF CORPORATION) |
Authorized Official Contact | 3108326428 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Richard S. Gluckman M.d. Inc 1360 W 6th St #350 San Pedro CA 90732-3514 Ph: (310) 832-6428 | Richard S. Gluckman M.d. Inc 1360 W 6th St #350 San Pedro CA 90732-3514 Ph: (310) 832-6428 |
NPI Number | 1386605731 |
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Provider Enumeration Date | 03/28/2006 |
Last Update Date | 08/16/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386605731 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | G33891 (California) | Primary |
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