Dr. Ellen Julienne Glynn
Orthodontists
655 Camino De Los Mares Ste 119
San Clemente
, California 92673-2809
Dr. Ellen Julienne Glynn
Orthodontists
655 Camino De Los Mares Ste 119
San Clemente
, California 92673-2809
(949) 488-0600
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About
Features
Specialties
- Orthodontists
Languages spoken
- English
Location
First Address
- Dr. Ellen Julienne Glynn
- 655 Camino De Los Mares Ste 119
- San Clemente, CA
- Zip : 92673-2809
- Phone : (949) 488-0600
Second Address
- Dr. Ellen Julienne Glynn
- 655 Camino De Los Mares Ste 119
- San Clemente, CA
- Zip : 92673-2809
- Phone : (949) 488-0600
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223X0400X | Orthodontists | 41258 | CA |
National Provider Identifier
| NPI | 1023182698 |
|---|---|
| Provider Name | Dr. Ellen Julienne Glynn |
| First Address | San Clemente, CA 92673-2809 |
| Second Address | San Clemente, CA 92673-2809 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/11/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.