Brian K Gamble, M.D. Inc in Van Nuys - Addiction Medicine

Brian K Gamble, M.D. Inc - NPI 1386848612

Brian K Gamble, M.D. Inc is a Addiction Medicine in Van Nuys, California. Brian K Gamble, M.D. Inc practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for Brian K Gamble, M.D. Inc is 1386848612. The last update date is 2008-01-23.

Brian K Gamble, M.D. Inc's current location address is 13521 Sherman Way, Van Nuys, California. You can contact this provider via phone number 8187865360 and fax number 8187865670. The mailing address for Brian K Gamble, M.D. Inc is 13521 Sherman Way, Van Nuys, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Brian K Gamble, M.D. Inc
Address 13521 Sherman Way, Van Nuys, California
Phone Number 8187865360
Fax Number 8187865670
Sole Proprietor --
Credentials --

Authorized Official

Title or Position C.E.O.
Authorized Official Name Gamble Keith Brian
Credentials M.D.
Telephone Number 8187865360

NPI Number Detail

NPI Number 1386848612
Provider Enumeration Date 2007-06-12
Last Updated Date 2008-01-23

Provider Mailing Address Detail

Address 13521 Sherman Way
City Van Nuys
State California (CA)
Post Code 914052894
Phone Number 8187865360
Fax Number 8187865670

Provider's Primary Taxonomy Detail

Speciality Addiction Medicine
Taxonomy 2084A0401X
Licence No A76121
Definition:
A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
A76121 CA STATE LICENSE

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FAQs about Brian K Gamble, M.D. Inc

What is the unique 10-digit identifier code issued to Brian K Gamble, M.D. Inc by the Centers for Medicare & Medicaid Services?

The Brian K Gamble, M.D. Inc has been assigned the NPI (National Provider Identifier) 1386848612 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Brian K Gamble, M.D. Inc is physically located?

The Brian K Gamble, M.D. Inc is physically situated at the following address: 13521 Sherman Way, Van Nuys, CA, 914052894.

What is the Brian K Gamble, M.D. Inc's specialty and taxonomy code?

The Brian K Gamble, M.D. Inc's specialty is Addiction Medicine, and the corresponding taxonomy code is 2084A0401X.

On what date was the 1386848612 assigned to Brian K Gamble, M.D. Inc?

The Brian K Gamble, M.D. Inc was issued its 1386848612 on 2007-06-12, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the Brian K Gamble, M.D. Inc's information last updated?

The Brian K Gamble, M.D. Inc's information was last updated on 2008-01-23.

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