Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207XS0106X | Orthopaedic Hand Surgeon | A135683 | CA |
Y | 2086S0105X | Surgery of the Hand | A135683 | CA |
NPI | 1538336573 |
---|---|
Provider Name | Dr. Joshua Saul Gluck |
First Address | Ventura, CA 93003-7844 |
Second Address | Ventura, CA 93003-3165 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/05/2008 |
Last Update Date | 27/11/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A135683 | STATE LICENSE (01) | CA |
FG4039550 | DEA (01) | CA |