Individual
GLENN NAGAMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11301 WILSHIRE BLVD., NEPHROLOGY MAIL CODE 111L, LOS ANGELES, CA 90073
(310) 268-3835
Mailing address
11301 WILSHIRE BLVD., NEPHROLOGY MAIL CODE 111L, LOS ANGELES, CA 90073
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
G42710
CA
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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