Healthcare Provider Details

I. General information

NPI: 1235472325
Provider Name (Legal Business Name): CHRISTOPHER GLENDINNING
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2013
Last Update Date: 07/31/2025
Certification Date: 07/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1887 WHITNEY MESA DR # 3792
HENDERSON NV
89014-2069
US

IV. Provider business mailing address

1887 WHITNEY MESA DR # 3792
HENDERSON NV
89014-2069
US

V. Phone/Fax

Practice location:
  • Phone: 949-705-9256
  • Fax:
Mailing address:
  • Phone: 949-705-9256
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberDO3935
License Number StateNV
# 2
Primary TaxonomyY
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License NumberDO3935
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: