Individual
DR. GLENNA PATRISE TOLBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
17609 VENTURA BLVD, STE 114, ENCINO, CA 91316
(818) 784-7197
(818) 784-3060
Mailing address
17609 VENTURA BLVD, STE 114, ENCINO, CA 91316
(818) 784-7197
(818) 784-3060
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
G70820
CA
2081P0004X
Spinal Cord Injury Medicine Physician
G70820
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G708200
—
CA
Enumeration date
02/02/2007
Last updated
08/26/2008
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