| Doctor Name: | DR. BRIAN KEITH GAMBLE |
| NPI Number: | 1568478436 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | A76121 |
| Business Practice Address: | 10701 Riverside Dr Suite 16 Toluca Lake, CA - 916022384 |
| Business Phone Number: | 8189851221 |
| Business Fax Number: | |
| Mailing Address: | 10701 Riverside Dr, 16 TOLUCA LAKE |
| State: | CA |
| Postal Code: | 916022384 |
| Phone Number: | 8189851221 |
| Fax Number: | |
| NPI Enumeration Date: | 07/31/2006 |
| NPI Last Update Date: | 12/10/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085U0001X |
| License Number: | A76121 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Diagnostic Ultrasound |
| Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound. |