Jarus, Glen Daniel

Jarus, Glen Daniel is an individual health care provider with primary practice located at 6319 S Greenleaf Ave , Whittier CA 90601-3536. He recently has only one registered license in Allopathic & Osteopathic Physicians / Retina Specialist, which is considered as his primary health care specialty. Jarus, Glen Daniel can be contacted via phone (562) 945-2468.

Contact Information

Primary practice address
6319 S Greenleaf Ave Whittier CA 90601-3536
Phone: (562) 945-2468
Fax: (562) 945-8804
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X G36924 California

Profile Details

NPI number 1619952306
LBN Legal business name Jarus, Glen Daniel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2005
Last updated Apr 21st, 2017 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619952306 NPPES
California MEDICAID GR0053740
California MEDICAID GR0053741

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