Edwin Chapman Glass
Nuclear Medicine Specialist
2811 Wilshire Blvd Suite 810
Santa Monica
, California 90403-4803
Edwin Chapman Glass
Nuclear Medicine Specialist
2811 Wilshire Blvd Suite 810
Santa Monica
, California 90403-4803
(310) 268-4916
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About
Features
Specialties
- Nuclear Medicine Specialist
Languages spoken
- English
Location
First Address
- Edwin Chapman Glass
- 3271 Rosewood Ave
- Los Angeles, CA
- Zip : 90066-1735
- Fax : (310) 268-4916
- Phone : (310) 390-0761
Second Address
- Edwin Chapman Glass
- 2811 Wilshire Blvd Suite 810
- Santa Monica, CA
- Zip : 90403-4803
- Fax : (310) 268-4916
- Phone : (310) 829-9788
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207U00000X | Nuclear Medicine Specialist | C35240 | CA |
National Provider Identifier
| NPI | 1629012612 |
|---|---|
| Provider Name | Edwin Chapman Glass |
| First Address | Los Angeles, CA 90066-1735 |
| Second Address | Santa Monica, CA 90403-4803 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/06/2006 |
| Last Update Date | 13/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00C352400 | (05) | CA |
| 00C352400 | BLUE SHIELD (01) | CA |
| F90524 | (02) | CA |
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.