Organization
ALLIEDPATH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN E GLASSCO MD (MEDICAL DIRECTORY)
(818) 885-5398
Entity
Organization
Contact information
Practice address
10455 PACIFIC CENTER CT, SAN DIEGO, CA 92121-4339
(858) 768-5361
Mailing address
3829 LUNA CT, ALTADENA, CA 91001-3865
(626) 791-6202
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
A79154
CA
Other
Enumeration date
09/14/2009
Last updated
09/14/2009
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