Organization
GLEN D. JARUS, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLEN DANIEL JARUS MD (PRESIDENT)
(562) 945-2468
Entity
Organization
Contact information
Practice address
6319 GREENLEAF AVE, WHITTIER, CA 90601-3536
(562) 945-2468
(562) 945-8804
Mailing address
6319 GREENLEAF AVE, WHITTIER, CA 90601-3536
(562) 945-2468
(562) 945-8804
Taxonomy
Speciality
Code
Description
License number
State
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
G36924
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0053741
—
CA
Enumeration date
01/19/2007
Last updated
04/21/2017
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