Provider Demographics
NPI:1932209491
Name:SLUTSKY, DAVID JOSEPH (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:JOSEPH
Last Name:SLUTSKY
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 1:2808 COLUMBIA ST
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90503-3808
Mailing Address - Country:US
Mailing Address - Phone:310-618-9922
Mailing Address - Fax:310-618-8445
Practice Address - Street 1:2808 COLUMBIA ST
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90503-3808
Practice Address - Country:US
Practice Address - Phone:310-618-9922
Practice Address - Fax:310-618-8445
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-25
Last Update Date:2009-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG60377207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG60377Medicare PIN
CAE78265Medicare UPIN