Healthcare Provider Details

I. General information

NPI: 1538448949
Provider Name (Legal Business Name): GARRETT G GLAPA NP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/16/2011
Last Update Date: 02/08/2026
Certification Date: 02/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11239 VENTURA BLVD STE 213
STUDIO CITY CA
91604-3167
US

IV. Provider business mailing address

11239 VENTURA BLVD STE 213
STUDIO CITY CA
91604-3167
US

V. Phone/Fax

Practice location:
  • Phone: 818-505-0152
  • Fax: 818-505-0398
Mailing address:
  • Phone: 818-505-0152
  • Fax: 818-505-0398

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number20530
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: