Individual
DR. GLENN I POWERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
757 WESTWOOD PLZ STE 3325, LOS ANGELES, CA 90095-8358
(310) 267-8626
(310) 267-8679
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G74509
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0080384
DEPT OF LABOR & INDUSTRIE
WA
01
—
0231778
L&I
WA
05
—
1077148
—
WA
05
—
1881684926
—
WA
01
—
PO3646
REGENCE BLUE SHIELD
WA
Enumeration date
10/27/2005
Last updated
12/02/2025
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