Individual
DR. CASPER GLENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5450 LINCOLN BLVD, PLAYA VISTA, CA 90094-2002
(310) 305-9200
(310) 305-2800
Mailing address
5450 LINCOLN BLVD, PLAYA VISTA, CA 90094-2002
(310) 305-9200
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
A50893
CA
146D00000X
Personal Emergency Response Attendant
Primary
G48007
CA
Other
Enumeration date
02/20/2007
Last updated
03/17/2018
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