Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | G12130 | CA |
NPI | 1023018108 |
---|---|
Provider Name | Harvey S Kulber |
First Address | Encino, CA 91316-1502 |
Second Address | Encino, CA 91316-1502 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/07/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G121300 | (05) | CA |
A38561 | (02) | CA |
AK0027296 | DEA (01) | CA |
G12130 | LICENSE (01) | CA |