Glick, Jeffrey A

Glick, Jeffrey A is an individual health care provider with primary practice located at 12660 Riverside Dr Suite 225, North Hollywood CA 91607-3429. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Glick, Jeffrey A can be contacted via phone (818) 487-0040.

Contact Information

Primary practice address
12660 Riverside Dr Suite 225 North Hollywood CA 91607-3429
Phone: (818) 487-0040
Fax: (818) 487-0050
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X G58181 California
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X G58181 California

Profile Details

NPI number 1477533511
LBN Legal business name Glick, Jeffrey A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2006
Last updated Sep 12th, 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 1477533511 NPPES
California MEDICAID 00G581810

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