Individual
JOHN E GLASSCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10833 LE CONTE AVE, LOS ANGELES, CA 90095-3075
(310) 794-1355
Mailing address
PO BOX 2311, CHATSWORTH, CA 91313-2311
(818) 718-9500
(818) 718-9507
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
A41222
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A412220
—
CA
Enumeration date
09/08/2005
Last updated
06/17/2009
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