Provider Demographics
NPI:1528046463
Name:APPELBAUM, BRUCE DAVID (MD)
Entity type:Individual
Prefix:
First Name:BRUCE
Middle Name:DAVID
Last Name:APPELBAUM
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:18811 HUNTINGTON ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92648-6002
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:949-364-2972
Practice Address - Street 1:18811 HUNTINGTON ST
Practice Address - Street 2:SUITE 200
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92648-6002
Practice Address - Country:US
Practice Address - Phone:949-460-4973
Practice Address - Fax:949-364-2972
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-31
Last Update Date:2024-10-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG695122084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G6951200Medicaid
CA00G6951200Medicaid