Provider Demographics
NPI:1528179017
Name:GLUZMAN, ARIE VADIM (MD)
Entity Type:Individual
Prefix:DR
First Name:ARIE
Middle Name:VADIM
Last Name:GLUZMAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:26895 ALISO CREEK RD
Mailing Address - Street 2:SUITE B34
Mailing Address - City:ALISO VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92656-5301
Mailing Address - Country:US
Mailing Address - Phone:949-642-0042
Mailing Address - Fax:949-642-0043
Practice Address - Street 1:351 HOSPITAL RD
Practice Address - Street 2:STE 411
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92663-3506
Practice Address - Country:US
Practice Address - Phone:949-642-0042
Practice Address - Fax:949-642-0043
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2019-05-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA894382081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine