Jack C. Buckley M.D.

NPI 1679725220 - Anesthesiology - 207L00000X

NPI Details
NPI 1679725220
Gender Male
Enumeration Date 10/15/2008
Last Updated 04/14/2009
Entity Type Individual
Active Over 8 years ago
Practice Location
3181 S. SEPULVEDA BLVD. #101
LOS ANGELES CA, 90034, US
Phone (310) 775-7358
Fax
Business Location
3181 S. SEPULVEDA BLVD. #101
LOS ANGELES CA, 90034, US
Phone (310) 775-7358
Fax
Toxanomy
Taxonomy Code 207L00000X
License State California
License Number A98986
Remove 1679725220 NPI Number
 

According to our database, Dr. Jack C. Buckley M.D. NPI is 1679725220, taxonomy code is 207L00000X and license number is A98986, license state is located at California. Jack C. Buckley M.D. physically located at 3181 S. Sepulveda Blvd. #101, Los Angeles CA, 90034. NPI Number Jack C. Buckley M.D. has the Individual type.

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1679725220 NPI number is provided on an as is basis without warranty of any kind. 1679725220 is maintained by the National Plan & Provider Enumeration System. The contents of Jack C. Buckley M.D. are for informational purposes only.