Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | G27849 | CA |
NPI | 1033184973 |
---|---|
Provider Name | Dr. Glenn David Littenberg |
First Address | Pasadena, CA 91105-3278 |
Second Address | Pasadena, CA 91105-3278 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/02/2006 |
Last Update Date | 18/04/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G278490 | (05) | CA |
A43518 | (02) | CA |