Justin Alexander Bucknor, is a
Student In An Organized Health Care Education/training Program based in Los Angeles, California. Justin Alexander Bucknor is licensed to practice in * (Not Available) (license number ) and his current practice location is
11460 S Normandie Ave Bldg C, Los Angeles, California. He can be reached at his office (for appointments etc.) via phone at
(323) 942-8415.
NPI number for Justin Alexander Bucknor is 1619755600 and his current mailing address is 9808 Venice Blvd Ste 700, Culver City, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1619755600.
Healthcare Provider's Profile
| Full Name | Justin Alexander Bucknor |
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| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 11460 S Normandie Ave Bldg C, Los Angeles, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1619755600
- Provider Enumeration Date: 09/20/2023
- Last Update Date: 05/22/2026
Medical Identifiers
Medical identifiers for Justin Alexander Bucknor such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619755600 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | (California) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Justin Alexander Bucknor is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Justin Alexander Bucknor,
9808 Venice Blvd Ste 700,
Culver City, CA 90232-6824
Ph: (310) 945-3350 | Justin Alexander Bucknor,
11460 S Normandie Ave Bldg C,
Los Angeles, CA 90044-1215
Ph: (323) 942-8415 |
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