Individual
BRIAN MCGLORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
504 W MISSION AVE STE 106, ESCONDIDO, CA 92025-1603
(510) 482-2244
Mailing address
504 W MISSION AVE STE 106, ESCONDIDO, CA 92025-1603
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
CA
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05
—
CA
Enumeration date
01/29/2019
Last updated
04/16/2025
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