Gluckstein, Daniel Peter

Gluckstein, Daniel Peter is an individual health care provider with primary practice located at 255 E Bonita Ave Bldg 1B , Pomona CA 91767-1923. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Gluckstein, Daniel Peter can be contacted via phone (909) 275-7470.

Contact Information

Primary practice address
255 E Bonita Ave Bldg 1B Pomona CA 91767-1923
Fax: (909) 971-4532
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X G56964 California

Profile Details

NPI number 1598703654
LBN Legal business name Gluckstein, Daniel Peter
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2006
Last updated Aug 30th, 2019 - about 5 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 1598703654 NPPES
California Other G569640 CA STATE LICENSE #
California Other WG56964B CA STATE LICENSE #
California MEDICAID GR0059670 CA STATE LICENSE #
California MEDICAID 00G569640 CA STATE LICENSE #
California Other BK904Z CA STATE LICENSE #

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