Individual
DR. DAVID GEORG GLICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16101 VENTURA BLVD STE 240, ENCINO, CA 91436-2513
(818) 784-9304
(818) 784-9307
Mailing address
5091 WESTWOOD ST, SIMI VALLEY, CA 93063-0231
(818) 784-9304
(818) 784-9307
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
G53604
CA
Other
Enumeration date
03/27/2007
Last updated
07/08/2007
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