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Individual

DR. HEATHER GLANZBERG MORENO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
625 S FAIR OAKS AVE, SUITE #140, PASADENA, CA 91105-2613
(626) 793-6141
(626) 447-1058
Mailing address
223 N 1ST AVE, SUITE #201, ARCADIA, CA 91006-7027
(626) 698-7246

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A98163
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1457477176
CA
Enumeration date
03/22/2007
Last updated
10/21/2014
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