Organization
INDEPENDENT SURGEONS OF AMERICA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD GLIMP M.D. (PRESIDENT)
(310) 480-8852
Entity
Organization
Contact information
Practice address
13160 MINDANAO WAY, SUITE 300, MARINA DEL REY, CA 90292
(310) 437-7921
Mailing address
13160 MINDANAO WAY, SUITE 300, MARINA DEL REY, CA 90292
(310) 920-1461
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
08/06/2026
Last updated
08/06/2026
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