Duckwiler, Gary

Duckwiler, Gary is an individual health care provider with primary practice located at 100 Ucla Medical Plz Ste 100 , Los Angeles CA 90024-7000. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Duckwiler, Gary can be contacted via phone (310) 481-7545.

Contact Information

Primary practice address
100 Ucla Medical Plz Ste 100 Los Angeles CA 90024-7000
Fax: (310) 794-9035
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X G052580 California
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X G052580 California

Profile Details

NPI number 1538111216
LBN Legal business name Duckwiler, Gary
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Jun 9th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538111216 NPPES
California MEDICAID 00G525800

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