Individual
GLORIA ARLENE LOPEZ-GLASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
17412 VENTURA BLVD, 550, ENCINO, CA 91316-3827
(213) 385-9912
Mailing address
17412 VENTURA BLVD, 550, ENCINO, CA 91316-3827
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
07/27/2009
Last updated
01/24/2015
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