MEDICARE: GLEN FABIAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	95266432	CA

General Provider Information

NPI Number	:	1831850445
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GLEN FABIAN

Provider Business Mailing Address
First Line	:	3404 TOLAS CT
Second Line	:
City	:	NATIONAL CITY
State	:	CA
Zip	:	91950-3166
Country	:	US
Telephone Number	:	619-339-1197
Fax Number	:

Provider Business Practice Location Address
First Line	:	3404 TOLAS CT
Second Line	:
City	:	NATIONAL CITY
State	:	CA
Zip	:	91950-3166
Country	:	US
Telephone Number	:	619-339-1197
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/05/2022
Last Update Date	:	01/05/2022

Similar Medicare Providers

1336487867 — JEFFREY TELMO COTA
Practice Location Address:

3412 TOLAS CT
NATIONAL CITY, CA
91950-3166

Practice Phone: 619-274-7569
Practice Fax:

1083682728 — INTERIM HEALTHCARE OF SE INDIANA, INC.
Practice Location Address:

3200 N NATIONAL RD
COLUMBUS, IN
47201-3166

Practice Phone: 812-799-1846
Practice Fax: 812-799-1848

1528455938 — C & S DENTAL INC.
Practice Location Address:

3220 N NATIONAL RD
COLUMBUS, IN
47201-3166

Practice Phone: 812-376-4054
Practice Fax: 812-799-1781

1801316864 — SONRISAS FAMILY DENTAL
Practice Location Address:

3220 N NATIONAL RD
COLUMBUS, IN
47201-3166

Practice Phone: 812-376-4054
Practice Fax:

1396464251 — MIRANDA DENTISTRY PC
Practice Location Address:

3220 N NATIONAL RD
COLUMBUS, IN
47201-3166

Practice Phone: 812-376-4054
Practice Fax:

1396738878 — MR. DONALD LEE GRIFFIN MD
Practice Location Address:

14410 ROUTE 37
JOHNSTON CITY, IL
62951-3166

Practice Phone: 618-937-6409
Practice Fax: 618-937-1619

Directions to “ GLEN FABIAN ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.