MEDICARE: ANNE M. GLASER MD P C

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	207U00000X	Nuclear Medicine Physician
2	2085U0001X	Diagnostic Ultrasound Physician
3	2085R0202X	Diagnostic Radiology Physician

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	CB288865	OTHER	CA	MEDICARE

General Provider Information

NPI Number	:	1548302441
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANNE M. GLASER MD P C

Provider Business Mailing Address
First Line	:	8642 GREGORY WAY APT 304
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90035-1749
Country	:	US
Telephone Number	:	424-355-0046
Fax Number	:	424-355-0047

Provider Business Practice Location Address
First Line	:	9001 DAYTON WAY UNIT C
Second Line	:
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90211-1638
Country	:	US
Telephone Number	:	424-355-0046
Fax Number	:	424-355-0047

Authorized Official
Title or Position	:	PRRESIDENT
Name	:	ANNE MIRIAM GLASER
Credential	:	MD
Telephone Number	:	424-355-0046

Provider Enumeration Date	:	02/14/2007
Last Update Date	:	05/03/2024

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