Individual
BEN J. GLASGOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10833 LE CONTE AVE, CHS B-186, LOS ANGELES, CA 90095-3075
(310) 794-8285
Mailing address
5767 W CENTURY BLVD, SUITE 200, LOS ANGELES, CA 90045-5632
(310) 301-8708
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
G50625
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G506250
—
CA
Enumeration date
06/24/2006
Last updated
12/26/2008
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