THEODORE GLAESSNER


Address: 1491 Capri Dr, Pacific Palisades, CA 90272-2706
Phone: 3104544243

THEODORE GLAESSNER (NPI# 1699071878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699071878
Entity Type Individual
Full Name THEODORE GLAESSNER
Credential M.D.
Practice Address 1491 Capri Dr
Pacific Palisades
CA 90272-2706
Practice Telephone 3104544243
Enumeration Date 2011-02-04
Last Update Date 2011-02-04
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
CFE23343 CA Allopathic & Osteopathic Physicians

Office Location

Street Address 1491 CAPRI DR
City PACIFIC PALISADES
State CA
Zip Code 90272-2706

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053852590 Lynn Watanabe Dentist 881 Alma Real Drive Suite 222, Pacific Palisades, CA 90272 2017-03-16
1891248217 Ericka Hofmeyer Marriage & Family Therapist 17015 Pacific Coast Highway, Spc 28, Pacific Palisades, CA 90272 2016-08-02
1053767137 Laura Kirkland Dental Therapist 984 Monument Drive, 207, Pacific Palisades, CA 90272 2016-05-09
1003288846 Traig Ty Trumbo Chiropractor 12519 Sunset Blvd, Suite 203, Pacific Palisades, CA 90272 2015-10-20
1356712442 Kathryn Hope Carter Counselor 881 Alma Real Drive, Suite 218, Reconnect Integrative Trauma Treatment Center, Pacific Palisades, CA 90272 2015-10-14
1922480946 John Pietrzak Psychologist 15340 Albright St Unit 106, Pacific Palisades, CA 90272 2015-06-25
1841607652 Babak Forooghi Dentist 15720 Ventura Blvd. Suite 311, Encino, CA 90272 2014-07-14
1679992374 Julie Erickson Marriage & Family Therapist 1052 Kagawa Street, Pacific Palisades, CA 90272 2014-04-09
1669750816 Communy Care At Home Adult Companion 1623 S. La Cienega Blvd, Los Angeles, CA 90272 2011-07-21
1548498165 Norman J. Rubaum Surgery 620 Enchanted Way, Pacific Palisades, CA 90272 2009-06-23
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Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568663896 Mitchell Bashiri Radiology 17339 Tramonto Dr, Apt 102, Pacific Palisades, CA 90272-3124 2007-05-31
1851407787 Roxanne Chan Radiology 15332 Antioch St, #212, Pacific Palisades, CA 90272-3628 2006-08-22
1073784153 Roxanne Chan, Md Inc Radiology 15332 Antioch St, Pmb #212, Pacific Palisades, CA 90272-3628 2008-03-17

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Competitor

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City PACIFIC PALISADES
Zip Code 90272

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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