Richard S. Gluckman M.D. Inc

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

G33891 Issued in CA

Legal business name

RICHARD S. GLUCKMAN M.D. INC

Practice address

1360 W 6TH St
#350
San Pedro, CA 90732-3514

Phone

(310) 832-6428

Fax

(310) 832-5178

NPI assigned

Mar 28, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Richard Stephen Gluckman, M.D.

Title

President of Corporation

Phone

(310) 832-6428

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376611200000",
    "number": "1386605731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 W 6TH ST",
            "address_2": "#350",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907323514",
            "telephone_number": "310-832-6428",
            "fax_number": "310-832-5178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 W 6TH ST",
            "address_2": "#350",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907323514",
            "telephone_number": "310-832-6428",
            "fax_number": "310-832-5178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD S. GLUCKMAN M.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-28",
        "last_updated": "2013-08-16",
        "status": "A",
        "authorized_official_last_name": "GLUCKMAN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "PRESIDENT OF CORPORATION",
        "authorized_official_telephone_number": "310-832-6428",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "G33891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Reynoso
• Caroline June Rhee, PHARMD, RPH
• Riamd, Incorporation
• Alex Habib Riazati, PSYCHOLOGY TRAINEE
• Richard C. Smith, M.D. a Professional Corporation
• Tori Riley
• Andrea Rios
• Sheree Capri Carmelita Marie Risley Aragon, LCSW
• Rite of Passage Adolescent Treatment Centers and Schools, Inc.
• David Edward Rivera, D.C.

• Neurology Physician in San Pedro, CA
• Providers in San Pedro, CA by specialty
• Neurology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.