Glavinovich, John Luke
Glavinovich, John Luke is an sole proprietor health care provider with primary practice located at 4330 Barranca Parkway Suite 112, Irvine CA 92604-4755. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine, Allopathic & Osteopathic Physicians / General Practice, Other Service Providers / Prevention Professional. Other Service Providers / Prevention Professional is his primary health care specialty. Glavinovich, John Luke can be contacted via phone (949) 307-6210.Contact Information
Primary practice address
4330 Barranca Parkway Suite 112
Irvine CA 92604-4755
Phone: (949) 307-6210
Fax: (949) 497-4225
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | G31910 | California |
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine | 2083P0011X | G31910 | California |
Allopathic & Osteopathic Physicians / General Practice | 208D00000X | G31910 | California |
Other Service Providers / Prevention Professional | 405300000X | G31910 | California |
Profile Details
NPI number | 1942220330 |
---|---|
LBN Legal business name | Glavinovich, John Luke |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 20th, 2006 |
Last updated | Feb 26th, 2019 - about 5 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 | 1942220330 | NPPES |
California | Other | 00G319100 | BLUE SHIELD |
California | MEDICAID | 00G319100 | BLUE SHIELD |
California | Other | 930107459 | BLUE SHIELD |
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