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Contact Information

EDWIN C. GLASS, M.D., INC.
2811 WILSHIRE BLVD
SUITE 810
SANTA MONICA, CA90403-4801
 Phone: 310-829-9788
 Fax: 310-264-1649
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nuclear Medicine

207U00000X 36 Physician/Nuclear Medicine
 

In Vivo & In Vitro Nuclear Medicine

207UN0903X 36 Physician/Nuclear Medicine
 

Nuclear Cardiology

207UN0901X 36 Physician/Nuclear Medicine
 

Nuclear Imaging & Therapy

207UN0902X 36 Physician/Nuclear Medicine
Indicates primary specialty

NPI Profile & details for EDWIN C. GLASS, M.D., INC.

NPI # 1912019423
LBN Legal business name EDWIN C. GLASS, M.D., INC.
Authorized official EDWIN GLASS - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/31/2006
Last updated 07/13/2007 - About 19 years ago
Identifiers
CA License # C35240
CA Other 00C352400 BLUE SHIELD
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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