Glass, Edwin Chapman
Glass, Edwin Chapman is an individual health care provider with primary practice located at 2811 Wilshire Blvd Suite 810, Santa Monica CA 90403-4803. He 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 his primary health care specialty. Glass, Edwin Chapman can be contacted via phone (310) 829-9788.Contact Information
Primary practice address
2811 Wilshire Blvd Suite 810
Santa Monica CA 90403-4803
Phone: (310) 829-9788
Fax: (310) 268-4916
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nuclear Medicine | 207U00000X | C35240 | California |
| Allopathic & Osteopathic Physicians / Nuclear Cardiology | 207UN0901X | C35240 | California |
| Allopathic & Osteopathic Physicians / Nuclear Imaging & Therapy | 207UN0902X | C35240 | California |
| Allopathic & Osteopathic Physicians / In Vivo & In Vitro Nuclear Medicine | 207UN0903X | C35240 | California |
Profile Details
| NPI number | 1629012612 |
|---|---|
| LBN Legal business name | Glass, Edwin Chapman |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 16th, 2006 |
| Last updated | Jul 13th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629012612 | NPPES |
| California | MEDICAID | 00C352400 | |
| California | Other | 00C352400 |
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