# JOHN E. GLASSCO, MD, INC.

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

## Provider details

- **NPI number:** 1023002672
- **Authorized official:** JOHN E GLASSCO M.D. (PRESIDENT)
- **Authorized official phone:** (818) 907-4561

## Contact information

- **Practice address:** 4929 VAN NUYS BLVD, SHERMAN OAKS, CA 91403-1702
- **Practice address phone:** (818) 907-4561
- **Practice address fax:** (818) 907-2810
- **Mailing address:** PO BOX 2311, CHATSWORTH, CA 91313-2311
- **Mailing address phone:** (818) 718-9500
- **Mailing address fax:** (818) 718-9507

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | NULL | Yes |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/08/2005
- **Last updated:** 06/17/2009