Organization
GLASS BEACH MEDICAL SERVICES AMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN VAUGHN (OFFICER)
(404) 450-4684
Entity
Organization
Contact information
Practice address
1301 N ROSE DR, PLACENTIA, CA 92870-3802
(973) 251-1132
Mailing address
5565 CENTERVIEW DR STE 107, RALEIGH, NC 27606-3563
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
07/21/2021
Last updated
03/30/2023
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