Individual
DR. GLEN ANDREW THOMAZIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
11234 ANDERSON ST, LLUMC HOUSE STAFF OFFICE CP 21005,, LOMA LINDA, CA 92354-2804
(909) 558-4918
Mailing address
11234 ANDERSON ST, LLUMC HOUSE STAFF OFFICE CP 21005,, LOMA LINDA, CA 92354-2804
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
20A9110
CA
2083P0901X
Public Health & General Preventive Medicine Physician
20A9110
CA
Other
Enumeration date
05/21/2007
Last updated
09/11/2025
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