Edwin C. Glass, M.D., Inc.

LBN: Edwin C. Glass, M.D., Inc.
Edwin C. Glass, M.D., Inc. is an health care organization with primary practice located at 2811 Wilshire Blvd Suite 810, Santa Monica CA 90403-4801. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Medicine, Allopathic & Osteopathic Physicians / Nuclear Cardiology, Allopathic & Osteopathic Physicians / Nuclear Imaging & Therapy, Allopathic & Osteopathic Physicians / In Vivo & In Vitro Nuclear Medicine. Allopathic & Osteopathic Physicians / Nuclear Medicine is the primary health care specialty. Edwin C. Glass, M.D., Inc. can be contacted via phone (310) 829-9788, or through Glass, Edwin C. via phone (310) 390-0761.

Contact Information

Primary practice address
2811 Wilshire Blvd Suite 810 Santa Monica CA 90403-4801
Phone: (310) 829-9788
Fax: (310) 264-1649
Website:
Map and Directions
Authorized official contact:
Name: Glass, Edwin C. Doctor of Medicine (MD)
Phone: (310) 390-0761

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nuclear Medicine 207U00000X C35240 California
Allopathic & Osteopathic Physicians / Nuclear Cardiology 207UN0901X
Allopathic & Osteopathic Physicians / Nuclear Imaging & Therapy 207UN0902X
Allopathic & Osteopathic Physicians / In Vivo & In Vitro Nuclear Medicine 207UN0903X

Profile Details

NPI number 1912019423
LBN Legal business name Edwin C. Glass, M.D., Inc.
DBA Doing business as
Authorized official Glass, Edwin C. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2006
Last updated Jul 13th, 2007 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912019423 NPPES
California Other 00C352400 BLUE SHIELD

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