Individual
DR. GLENN RIDA IRANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5525 ETIWANDA AVE, SUITE 212, TARZANA, CA 91356-3647
(818) 344-7600
(818) 996-9709
Mailing address
5525 ETIWANDA AVE, SUITE 212, TARZANA, CA 91356-3647
(818) 344-7600
(818) 996-9709
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
G059963
CA
Other
Enumeration date
02/27/2007
Last updated
07/08/2007
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