Individual
ERIC EDWARD GLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
760 OTAY LAKES RD, CHULA VISTA, CA 91910-6915
(619) 821-2300
Mailing address
7297 FLOREY ST, SAN DIEGO, CA 92122-2812
(301) 801-3927
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A101441
CA
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
Q7376
TX
Other
Enumeration date
01/26/2007
Last updated
03/24/2026
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