Individual
DR. JOHN LUKE GLAVINOVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4330 BARRANCA PARKWAY, SUITE 112, IRVINE, CA 92604-4755
(949) 307-6210
(949) 497-4225
Mailing address
456 PANORAMA DR, LAGUNA BEACH, CA 92651-1278
(949) 307-6210
(949) 497-4225
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
G31910
CA
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
G31910
CA
208D00000X
General Practice Physician
G31910
CA
405300000X
Prevention Professional
Primary
G31910
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G319100
BLUE SHIELD
CA
05
—
00G319100
—
CA
01
—
930107459
RAILROAD MEDICARE
CA
Enumeration date
07/20/2006
Last updated
02/26/2019
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