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
Phone: (310) 481-7545
Fax: (310) 794-9035
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538111216 | NPPES |
| California | MEDICAID | 00G525800 |
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