Organization
JEFFREY B. GLASER, M.D., MEDICAL CORPORATION
Active
Parent organization
JEFFREY B. GLASER, M.D., MEDICAL CORPORATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
JEFFREY B. GLASER, M.D., MEDICAL CORPORATION
Authorized official
DR. JEFFREY GLASER M.D. (PRESIDENT)
(818) 501-7246
Entity
Organization
Contact information
Practice address
16311 VENTURA BLVD, SUITE 775, ENCINO, CA 91436-2124
(818) 501-7246
Mailing address
2980 N BEVERLY GLEN CIR, SUITE 301, LOS ANGELES, CA 90077-1726
(310) 474-9809
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
12/21/2011
Last updated
12/21/2011
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