Ault, Glenn Thomas

Ault, Glenn Thomas is an individual health care provider with primary practice located at 1450 San Pablo St Ste 6200 , Los Angeles CA 90033. He recently has only one registered license in Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, which is considered as his primary health care specialty. Ault, Glenn Thomas can be contacted via phone (323) 865-3690.

Contact Information

Primary practice address
1450 San Pablo St Ste 6200 Los Angeles CA 90033
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X A54651 California

Profile Details

NPI number 1295749802
LBN Legal business name Ault, Glenn Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2006
Last updated Nov 27th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers