Search › California › 208200000X
Carroll Bucko, M. D
NPI 1386716421 · on the registry since 2006 · sole proprietor
Practice
- Address
- 9900 Genesee Ave Ste B
La Jolla, CA 92037 - Phone
- (858) 453-8484
- Fax
- (858) 453-3284
- Organisation at this address
- Leslie J. Gullahorn, Inc.
David G. Smith, M.D., A Professional CorporationInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 208200000X
208200000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California