Individual
ERIC F. GLASSY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2374 E PACIFICA PL, RANCHO DOMINGUEZ, CA 90220-6214
(310) 225-3244
(310) 698-7054
Mailing address
2374 E PACIFICA PL, RANCHO DOMINGUEZ, CA 90220-6214
(310) 225-3244
(310) 698-7054
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
G36186
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G361860
—
CA
01
—
01067536A
MEDICAL LICENSE
IN
01
—
13541
MEDICAL LICENSE
NV
01
—
35.095409
MEDICAL LICENSE
OH
01
—
4301095520
MEDICAL LICENSE
MI
01
—
G36186
MEDICAL LICENSE
CA
Enumeration date
05/18/2006
Last updated
01/27/2016
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