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Contact Information

JOHN L GLAVINOVICH, MD
4330 BARRANCA PARKWAY
SUITE 112
IRVINE, CA92604-4755
 Phone: 949-307-6210
 Fax: 949-497-4225
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Prevention Professional

405300000X
 

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Undersea and Hyperbaric Medicine

2083P0011X 84 Physician/Preventive Medicine
Indicates primary specialty

NPI Profile & details for JOHN L GLAVINOVICH · (Male)

NPI # 1942220330
Status Active
Credentials MD
Entity Individual
Enumeration date 07/20/2006
Last updated 02/26/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # G31910
  • CA Medicaid 00G319100
  • CA Other 00G319100 BLUE SHIELD
  • CA Other 930107459 RAILROAD MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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