# JEFFREY B GLASER MD MEDICAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013959642
- **Authorized official:** DR. JEFFREY B GLASER M.D. (PRESIDENT/CEO)
- **Authorized official phone:** (818) 744-0505

## Contact information

- **Practice address:** 16311 VENTURA BLVD, SUITE \#518, ENCINO, CA 91436-2124
- **Practice address phone:** (818) 501-7246
- **Practice address fax:** (818) 501-7247
- **Mailing address:** 16311 VENTURA BLVD, SUITE \#518, ENCINO, CA 91436-2124
- **Mailing address phone:** (818) 501-7246
- **Mailing address fax:** (818) 501-7247

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | A64352 | CA | Yes |
| 208VP0014X | Interventional Pain Medicine Physician | — | NULL | — |
| 208VP0014X | Interventional Pain Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 06/11/2006
- **Last updated:** 08/29/2019