Organization
JEFFREY B GLASER MD MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY B GLASER M.D. (PRESIDENT/CEO)
(818) 744-0505
Entity
Organization
Contact information
Practice address
16311 VENTURA BLVD, SUITE #518, ENCINO, CA 91436-2124
(818) 501-7246
(818) 501-7247
Mailing address
16311 VENTURA BLVD, SUITE #518, ENCINO, CA 91436-2124
(818) 501-7246
(818) 501-7247
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
A64352
CA
208VP0014X
Interventional Pain Medicine Physician
—
—
Other
Enumeration date
06/11/2006
Last updated
08/29/2019
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