Individual
GLENVILLE ANTHONY MARCH JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4640 LINCOLN AVE, SUITE 101, MARINA DEL REY, CA 90292
(310) 822-0022
Mailing address
6701 CENTER DR W, SUITE790, LOS ANGELES, CA 90045-1535
(310) 216-2311
(310) 216-2310
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A52074
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A520740
MEDICAL PPIN #
CA
Enumeration date
07/24/2006
Last updated
07/08/2007
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