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Contact Information

LAURA BRUCKNER, MD
5400 BALBOA BLVD STE 326
ENCINO, CA91316-5214
 Phone: 818-789-8775
 Fax: 818-789-6726
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for LAURA BRUCKNER · (Female)

NPI # 1013097922
Status Active
Credentials MD
Entity Individual
Enumeration date 10/16/2006
Last updated 07/08/2007 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # G42766
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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