Provider Demographics
NPI:1023018108
Name:KULBER, HARVEY S (MD)
Entity Type:Individual
Prefix:
First Name:HARVEY
Middle Name:S
Last Name:KULBER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5400 BALBOA BLVD
Mailing Address - Street 2:120
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91316-1502
Mailing Address - Country:US
Mailing Address - Phone:818-788-0560
Mailing Address - Fax:818-788-9910
Practice Address - Street 1:5400 BALBOA BLVD
Practice Address - Street 2:120
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91316-1502
Practice Address - Country:US
Practice Address - Phone:818-788-0560
Practice Address - Fax:818-788-9910
Is Sole Proprietor?:No
Enumeration Date:2005-07-29
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG12130207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G121300Medicaid
CAG12130OtherLICENSE
CAAK0027296OtherDEA
CAG12130OtherLICENSE