Glenn W Fowler
Pediatrician Child Neurologist
101 The City Dr S
Orange
, California 92868-3201
Glenn W Fowler
Pediatrician Child Neurologist
101 The City Dr S
Orange
, California 92868-3201
(714) 456-3765
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About
Features
Specialties
- Pediatrician
- Child Neurologist
Languages spoken
- English
Location
First Address
- Glenn W Fowler
- Po Box 54559
- Los Angeles, CA
- Zip : 90054-0559
- Fax : (714) 456-3765
- Phone : (714) 456-8068
Second Address
- Glenn W Fowler
- 101 The City Dr S
- Orange, CA
- Zip : 92868-3201
- Fax : (714) 456-3765
- Phone : (714) 456-8068
Reviews
FAQs
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Is Glenn W Fowler a sole practitioner?
Is Glenn W Fowler accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208000000X | Pediatrician | C27260 | CA |
| N | 2084N0402X | Child Neurologist | C27260 | CA |
National Provider Identifier
| NPI | 1104848274 |
|---|---|
| Provider Name | Glenn W Fowler |
| First Address | Los Angeles, CA 90054-0559 |
| Second Address | Orange, CA 92868-3201 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/07/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00C272600 | (05) | CA |
| A33320 | (02) | CA |
| AF0047159 | DEA (01) | 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.