Organization
GLENN D LITTENBERG MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENN D LITTENBERG M.D. (PRESIDENT)
(626) 449-9920
Entity
Organization
Contact information
Practice address
630 S RAYMOND AVE, SUITE 240, PASADENA, CA 91105-3278
(626) 449-9920
(626) 578-7366
Mailing address
630 S RAYMOND AVE, SUITE 240, PASADENA, CA 91105-3278
(626) 449-9920
(626) 578-7366
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
G27849
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G278490
—
CA
01
—
DG8342
RAILROAD MEDICARE PTAN
CA
Enumeration date
10/12/2007
Last updated
06/17/2009
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