| Brian K Gamble, M.d. Inc | |
|
13521 Sherman Way Unit D Van Nuys CA 91405-2894 | |
| (818) 786-5360 | |
| (818) 786-5670 |
| Full Name | Brian K Gamble, M.d. Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 13521 Sherman Way, Van Nuys, California |
| Authorized Official Name and Position | Brian Keith Gamble (C.E.O.) |
| Authorized Official Contact | 8187865360 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brian K Gamble, M.d. Inc 13521 Sherman Way Unit D Van Nuys CA 91405-2894 Ph: (818) 786-5360 | Brian K Gamble, M.d. Inc 13521 Sherman Way Unit D Van Nuys CA 91405-2894 Ph: (818) 786-5360 |
| NPI Number | 1386848612 |
|---|---|
| Provider Enumeration Date | 06/12/2007 |
| Last Update Date | 01/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386848612 | NPI | - | NPPES |
| A76121 | Other | CA | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084A0401X | Psychiatry & Neurology - Addiction Medicine | A76121 (California) | Secondary |
| 207Q00000X | Family Medicine | W20244A (California) | Primary |
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