Individual
ERIC VICTOR GLASSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
22 CORPORATE PLAZA DR, NEWPORT BEACH, CA 92660-7985
(949) 722-7038
(949) 630-4951
Mailing address
22 CORPORATE PLAZA DR, NEWPORT BEACH, CA 92660-7985
(949) 722-7038
(949) 630-4951
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA17028
CA
363AS0400X
Surgical Physician Assistant
Primary
PA17028
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GX035Z
PTAN
CA
Enumeration date
06/27/2006
Last updated
12/08/2021
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