Doctor Name: | HENRY E. BRUCE |
NPI Number: | 1114920535 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | G17513 |
Business Practice Address: | 24411 Health Center Dr Ste 320 Laguna Hills, CA - 926533633 |
Business Phone Number: | 9497706077 |
Business Fax Number: | 9497700869 |
Mailing Address: | 24411 Health Center Dr, Ste 320 LAGUNA HILLS |
State: | CA |
Postal Code: | 926533633 |
Phone Number: | 9497706077 |
Fax Number: | 9497700869 |
NPI Enumeration Date: | 05/31/2005 |
NPI Last Update Date: | 12/21/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | 03/20/2006 |
NPI Reactivation Date: | 03/23/2006 |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | G17513 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |